high-dose niacin can raise blood glucose and worsen glycemic control, potentially opposing semaglutide's glucose-lowering effect
Injections Weight loss injection tracker Keep injection dates, dose notes, sites, reminders, weight and photos together
Patients should never discontinue GLP-1 therapy abruptly without medical consultation
The STEP clinical trial program enrolled over 10,000 participants and demonstrated: - **Average 1517% body weight loss** in clinical trials - **Preferential fat mass reduction** analysis published in *Diabetes, Obesity and Metabolism* showed the majority of weight lost was fat tissue - **Sustained results** STEP 5 trial showed maintained fat loss over 2 years - **Once-weekly injection** convenient dosing for bodybuilders and athletes For detailed dosing protocols, see our [semaglutide dosing schedule guide](/guides/semaglutide-dosing-schedule-week-by-week-guide)
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