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Contraindications:: Patients with a personal or family history of medullary thyroid carcinoma (based upon animal data - see FDA Warning) History of hypersensitivity to semaglutide or any of its excipients (serious reactions including angioedema & anaphylaxis have been reported) Side Effects: GI Adverse events: nausea, vomiting, constipation, diarrhea (~5-15%) most GI side side effects occur during dose initiation or escalation and wane after a few weeks (Drucker, 2024)

However, real-world evidencewhere availablehas not shown major differences in for example hypoglycemia rate or drug discontinuation (36, 39, 40)

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Administration and practical tips for new users Getting the practical details right from day one sets you up for success

Leaving a vial in a hot car during summer, where interior temperatures can reach 130 to 170 degrees, could compromise the medication in minutes rather than hours

On semaglutide