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[5] Both medications can cause side effects such as nausea, vomiting, and gastrointestinal issues

Patients should be advised to adhere to dietary guidelines [see Dosage and Administration (2)]

(1) In patients taking semaglutide for weight loss, this extra insulin travels to the hypothalamus part of the brain which then transmits chemical signals that the body is not hungry

Over multiple doses, this creates inconsistency in your protocol