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it is a methylated quinolinium derivative used as a chemical probe in metabolic and ageing research

ClinicalTrials.gov NCT00404417 Subcutaneous systemic dosing has not been studied in registered human trials

For example, the SELECT trial clearly demonstrated that semaglutide significantly reduces the risk of major adverse cardiovascular events (MACE), leading to FDA approval for lowering the risk of cardiovascular death, myocardial infarction, or stroke in overweight or obese adults with established cardiovascular disease (Marso et al., 2016a)

That compares to the pharma average of roughly 24x

Pediatr Nephrol 28:507510