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### Semaglutide Mechanism of Action Semaglutide achieves **weight loss** through multiple complementary pathways: - **Central appetite suppression** acts on hypothalamic GLP-1 receptors to reduce hunger and increase satiety - **Delayed gastric emptying** slows stomach emptying, prolonging feelings of fullness - **Improved insulin sensitivity** reduces insulin resistance and promotes healthy glucose metabolism - **Reward pathway modulation** reduces cravings and food-seeking behavior by acting on mesolimbic dopamine circuits - **Potential direct effects on adipose tissue** emerging research suggests GLP-1 may directly influence fat metabolism For a complete breakdown of semaglutide's dosing protocol, see our [semaglutide dosing schedule week-by-week guide](/guides/semaglutide-dosing-schedule-week-by-week-guide)

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Most protocols recommend injecting first thing in the morning before eating, then waiting 30-45 minutes before your first meal

Rare but serious risks include anaphylaxis in cobalt-sensitive patients and hypokalemia during rapid blood cell production

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A vitamin B12 injection is a treatment that delivers vitamin B12 directly into the body to help restore or support healthy B12 levels