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In a pivotal year-long trial, individuals undergoing semaglutide treatment experienced an average weight loss of 14.9%, with approximately one-third achieving an impressive weight reduction exceeding 20% (PubMed)

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The consequences of waiting are not just numbers: Persistent glucotoxicity Progressive β-cell dysfunction Increased risk of diabetes complications Lost opportunities for timely glycemic control The conversation should not be: "Insulin or GLP-1 RA?" It should be: "When is the right time to add insulin?" Modern diabetes care is about using the right therapy at the right time—not delaying effective treatment when it is clinically indicated