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Ethics declarations Ethics approval and consent to participate The study followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines and received ethical approval from the Institutional Review Board of Chung Shan Medical University Hospital (IRB number: CS2-21176)

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Semaglutide, marketed as Ozempic and Wegovy for injection or Rybelsus as an oral tablet, is a GLP-1 receptor agonist approved by the FDA for type 2 diabetes and chronic weight management