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However, weight loss associated with semaglutide might alter fat-soluble vitamin storage, including vitamin D, as it is stored in fat tissues

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We had assumed it was a consequence of losing weight but this seems to suggest theres a separate pathway. We dont know how those effects would play out in patients at a healthy weight, because they werent part of the study so it doesnt mean that semaglutides should be considered as a treatment for anyone with heart issues regardless of their weight