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Gastrointestinal side effects remain common, titration strategies require patience, and certain patientsespecially those with medullary thyroid carcinoma, severe gastroparesis, or history of pancreatitismay not qualify for therapy

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Patients who struggle primarily with portion sizes and food cravings rather than metabolic insulin resistance often see strong results because semaglutide's appetite-suppressing effects remain potent across the dosing interval

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