can you get pregnant while taking semaglutide and Pregnancy: Safety & Planning Guide Some women on Ozempic report

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The -Klotho/FGF21 receptor complex interacts specifically with the cognate receptors: FGFR1c, FGFR2c, or FGFR3c ( via pathways including the mitogen-activated protein kinase (MAPK) and AKT signaling networks (79)

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The reason is that intravenous administration carries a risk of immunogenicity the immune system recognizes Serratiaderived molecular signatures on the enzyme as foreign, which can trigger immune reactions