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Contraindications to semaglutide include personal or family history of medullary thyroid carcinoma, multiple endocrine neoplasia syndrome type 2, and previous serious hypersensitivity to semaglutide or any formulation components

But also be cautious with sugar alcohols (maltitol in particular can spike blood sugar and cause GI distress), excess fiber supplements that can worsen constipation if not taken with adequate water, and heavily processed keto products that may contain hidden carbs or ingredients that exacerbate GLP-1 side effects

PeerJ 11 , e15821 (2023)

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It is an argument for knowing who you are treating, and for ensuring that psychological support is part of the care plan from the beginning

Hexarelin is a synthetic version of a growth hormone-releasing peptide