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These side effects were usually worse at higher doses
The appeal is obvious: they're cheaper, no prescription is needed, and they're framed as doing the same job as expensive, prescription-only injections
Examples: Semaglutide, Liraglutide (commonly known for brands like Ozempic/Wegovy)
Your doctor will have you follow a specific plan of discontinuing each drug until they can help you figure out which one is causing adverse reactions
For example, a 2019 study of over 9,000 adults found people with obesity had lower blood levels of vitamin B12 (8)
Decision Framework: Questions to Ask Any Provider Rather than identifying a "best" option, individuals considering semaglutide treatment should evaluate their circumstances using these questions: Medical Appropriateness Do I have any contraindications listed in prescribing information
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