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Mammalian cells are unable to produce cysteine de novo and the trans-sulfuration pathway which is required for the synthesis of cysteine from methionine is only present in the liver and a few other tissues 5

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The STEP Trial Program The STEP clinical trial program included four phase 3 trials enrolling over 4,500 participants

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Gastrointestinal Effects The most frequently reported adverse reactions with semaglutide include: Nausea (occurring in 15-44% of patients depending on dose and indication) Vomiting (5-24% of patients) Diarrhea (8-30% of patients) Constipation (11-24% of patients) Abdominal pain (5-20% of patients) These symptoms typically emerge during dose escalation and often improve over time

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