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Dose escalation, timing relative to large meals, existing reflux disease, and vagal or diabetic neuropathy each affect the strength with which gut signals reach the brainstem

Common Side Effects & Considerations Common side effects are similar to semaglutide and include nausea, vomiting, diarrhea and constipation

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Counterfeit Ozempic usually contains insulin glargine, which is a different substance than semaglutide, and the needles of knockoff versions may not be sterile

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