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The mechanisms underlying its weight-reducing effects are not fully understood but may involve enhanced hypothalamic expression of anorexigenic neuropeptides, including proopiomelanocortin POMC, corticotropin-releasing hormone CRH, and thyrotropin-releasing hormone TRH, possibly modulating the POMC/melanocortin-4 receptor (MC4R) pathway [21]

However, patients with a history of pancreatitis or high alcohol intake should be monitored closely

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