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concerning) How dosing increases gradually over weeks What to do if you experience side effects You'll learn Week 1-2: Possible nausea, loss of appetite (normal) Week 3-4: Body adjusts, side effects usually improve Week 5-8: Appetite suppression peaks, weight loss increases Month 2+: Steady, consistent weight loss Step 4: Medication Safety Screening (5 minutes) The physician will ask Are you pregnant or trying to become pregnant?" (GLP-1 isn't recommended) Any history of thyroid cancer or medullary thyroid cancer?" (Important safety issue) Gallbladder disease, pancreatitis, or kidney problems?" (Need to monitor) Taking any other weight loss medications?" (Can't mix) Allergic to any medications?" (Especially previous allergies to injectables) Why: GLP-1 is safe, but its not appropriate for everyone

doi: 10.20344/amp.11978 3

One of the advantages of using the two in tandem is to alleviate some of the side effects that semaglutide GLP-1 can bring on, such as nausea, fatigue, or stomach discomfort