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There are a few conditions that would make a medication unsafe for a patient to take, when it comes to GLP-1s and GLP/GIP medications

I have seen more significant [gastrointestinal] side effects with oral semaglutide than with injectable, Moreno said, noting that he wonders what differences in side effects may occur when using such high doses of semaglutide compared with [the] injectable dose. In the trial, Novo Nordisk said, the vast majority of side effects of oral semaglutide were mild to moderate and diminished over time. All GLP-1 medications are associated with side effects including nausea, vomiting and abdominal pain, although not all patients experience them