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It works on three important hormone receptors that influence appetite, digestion, insulin response, and energy use: GLP-1: Helps reduce appetite, slow digestion, and support blood sugar control GIP: Enhances the effects of GLP-1 and supports insulin production Glucagon: Helps increase caloric burn and support fat metabolism Most weight-related medications work on one or two of these receptors

(PubMed) Yu SY, Zhu YJ, Li WG

A recent case report showed no harmful effects after a woman with type 2 diabetes took liraglutide (similar to semaglutide) during the first trimester of her pregnancy

Actual stability depends on storage conditions, handling, and the researchers own risk profile