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Administering the medication at one location continuously can lead to injection site reactions with symptoms like swelling, itching, pain, or redness around the injection area

While commercially available options like Wegovy and Ozempic are effective, compounded semaglutide offers the flexibility to adjust dosages and formulations to meet individual requirements

Personal or family history of medullary thyroid carcinoma or in patients with Multiple Endocrine Neoplasia syndrome type 2 Personal or family history of thyroid cancer Personal history of Suicidal thoughts or suicide attempts Personal history of Diabetic Retinopathy Personal history of Pancreatitis or gall bladder issues Currently pregnant or actively trying to get pregnant Known serious hypersensitivity to semaglutide or any of the excipients in Wegovy Common side effects The most common side effects of Wegovy include nausea, diarrhea, vomiting, constipation, stomach (abdominal) pain, indigestion, injection site reactions, feeling tired, allergic reactions, belching, hair loss, and heartburn

Fiber or Laxatives Example: Metamucil, Miralax, magnesium citrate May help constipation but can also cause bloating or dependency Support motility naturally (hydration, movement)

Available from Accessed 23 June 2020 Mudaliar S, Henry RR, Sanyal AJ et al (2013) Efficacy and safety of the farnesoid X receptor agonist obeticholic acid in patients with type 2 diabetes and nonalcoholic fatty liver disease