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Abbreviations BBB: Blood brain barrier cAMP: Cyclic adenosine monophosphate CD163: Cluster of differentiation 163 CD86: Cluster of differentiation 86 CREB: CAMP response element (CRE)-binding protein DM: Diabetes mellitus DRG: Dorsal root ganglia ERK: Extracellular signal-regulated kinase FM: Fibromyalgia GLP-1: Glucagon-like peptide-1 GLP-1R: Glucagon-like peptide-1 receptor HD of Sema: High dose of semaglutide IR: Insulin resistance i-NOS: Inducible nitric oxide synthase ID of Sema: Intermediate dose of semaglutide IL-4: Interleukin-4 IL-1: Interleukin-1 IL-1R: Interleukin -1 receptor LD of Sema: Low dose of semaglutide M1: Macrophage 1 M2: Macrophage 2 MAPK: Mitogen activated protein kinase NO: Nitric oxide PKA: Protein kinase A Res: Reserpine ROS: Reactive oxygen species Sema: Semaglutide TBST: Tris-buffered saline with Tween 20 TNF- : Tumor necrosis factor- TNFR: Tumor necrosis factor receptor References An N, Yang J, Wang H et al (2021) Mechanism of mesenchymal stem cells in spinal cord injury repair through macrophage polarization