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WHO SHOULD NOT TAKE IT, AND WHO NEEDS EXTRA CARE EVIDENCE The weight-management evidence for semaglutide comes from the STEP trial programme, and its cardiovascular evidence comes from the SELECT trial

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No Known Major Side Effects Well-tolerated and naturally occurring in the body

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Compounded injectable semaglutide typically offers bioavailability comparable to brand formulations while oral semaglutide requires higher doses due to GI absorption limitations, affecting cost and convenience trade-offs

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Instead, several overlapping mechanisms may contribute

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503A pharmacies and physicians: Prohibited from compounding, distributing, or dispensing tirzepatide after February 18, 2025

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