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This occurs due to the drugs effect on slowing gastrointestinal motility

Ghusn, W

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Ways to check blood sugar levels with fingersticks or sensors placed under the skin (continuous glucose monitors) have improved, making it easier and safer for persons with diabetes to avoid both low and high blood sugars

There is a theoretical concern that prolonged use of semaglutide could lead to an increased risk of gallbladder disorders, including gallstones (cholelithiasis), inflammation (cholecystitis), and biliary sludge

The theoretical basis is sound