As for the breath itself, the fixes are pretty boring: drink more water, use an antimicrobial mouthwash, scrape your tongue, and yes, chew sugar-free gum
Semaglutide is not a drug that is commonly tested for , and it is highly unlikely to cause a false positive on a standard drug test
doi:10.1073/pnas.2000703117
The glucagon receptor can cause nausea through a different pathway than GLP-1, meaning some people experience a qualitatively different type of nausea than what they felt on tirzepatide
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Wade also mentioned a lot of people taking semaglutide for diabetes or Alzheimer's prevention might be older and "frail", so not able to lose weight