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and avoiding fatty or greasy foods significantly reduce nausea and digestive upset

Limited data from published case reports and case series did not demonstrate an association between major malformations or other adverse pregnancy outcomes with spironolactone use

That is background from the literature, not dosing advice

Semaglutide also suppresses glucagon production, thus reducing the amount of glucose released and synthesised by the liver

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Its main purpose is to help your body adjust to semaglutide and reduce the chance of side effects