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How Does Oral Semaglutide Work? Oral semaglutide works by mimicking the effects of a hormone called glucagon-like peptide-1 (GLP-1) in the body. GLP-1 is released in response to food intake and helps regulate blood sugar levels by stimulating insulin production and reducing the production of glucagon. In addition to its effects on blood sugar levels, GLP-1 also plays a role in regulating appetite and promoting feelings of fullness. By activating GLP-1 receptors in the body, oral semaglutide can help individuals eat less, feel full sooner, and ultimately lose weight. When taken orally, semaglutide is absorbed into the bloodstream and travels to the intestines, where it activates GLP-1 receptors. This activation leads to the release of insulin, which helps lower blood sugar levels, as well as the slowing down of digestion and the reduction of appetite. 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