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This matches what researchers found in controlled studies

Reflux symptoms that appear here typically peak around days 3 to 7 of the new dose and improve by week 2

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Anecdotally, vivid dreams appear more common during dose escalation periods and tend to normalize after reaching a stable maintenance dose

33 Similarly, Deng et al reported, through a systematic review of 18 studies involving non-diabetic overweight/obese adults, that 86.6% of semaglutide-treated participants achieved 5% weight loss versus 65.3% with liraglutide, reinforcing semaglutides higher efficacy