Sham Comparator: Placebo
Weekly injections of placebo for 8 months total
Drug: Placebo semaglutide pen injector
Start injection of placebo semaglutide 0.25mg subcutaneously (SC) one a week for 4 weeks; step up to 0.5 mg SC QD for once a week for 4 weeks to a final dose of 1.0 mg semaglutide SQ weekly for 24 doses
Placebo Semaglutide 1mg
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