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Semaglutide's primary role is to lower blood sugar levels by mimicking GLP-1, a naturally occurring hormone

This also supports the finding that the cardiovascular benefits are not restricted to those agents structurally similar to human GLP-1 but are more likely a class effect that is seen in all GLP-1RAs

JAMA 293 (2), 194202

References & further reading Kaiser Family Foundation

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Berberine also increased spontaneous ovulation by 25 percent in yet another study on 98 anovulatory women with PMOS