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Foster, J
Digestive Issues Diarrhea and constipation both occur with semaglutide, sometimes alternating in the same person at different times
Except when they dont
For both injection and tablet formulations, a gradual doseescalation schedule over approximately 16 weeks (injection) or 90 days (tablets) is standard to improve GI tolerability. For prescribers , key considerations include: Confirming that the intended use is FDAapproved (CV risk reduction, chronic weight management, or adult MASH with F2F3 fibrosis) and that BMI and comorbidity criteria are met. Excluding contraindications (MTC/MEN 2, prior anaphylaxis/angioedema to semaglutide) and identifying risk factors such as prior pancreatitis, gallbladder disease, severe GI motility disorders, and advanced diabetic retinopathy
