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The mechanism by which semaglutide may reduce food-related thoughts involves several pathways: Central nervous system effects : GLP-1 receptors are present in brain regions involved in appetite regulation and reward processing, including the hypothalamus and mesolimbic pathways Delayed gastric emptying : Slower stomach emptying prolongs feelings of fullness Hormonal modulation : Enhanced insulin secretion and reduced glucagon release help stabilise blood glucose, potentially reducing hunger signals Altered food reward processing : Evidence suggests GLP-1 agonists may affect the rewarding properties of food Many patients report a reduction in food-related thoughts when taking semaglutide, describing a 'quietening' of constant food thoughts

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