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No two patients are alike, and no two peptide plans should be either

Legnini, I., Alles, J., Karaiskos, N., Ayoub, S

Monitor blood sugar levels in diabetic patients Regularly assess kidney function during treatment Ensure gradual dose escalation to reduce GI side effects Not recommended during pregnancy or breastfeeding Contraindications: Personal or family history of medullary thyroid carcinoma Multiple endocrine neoplasia syndrome type 2 (MEN 2) Known hypersensitivity to semaglutide or any component Severe gastrointestinal disease (e.g., gastroparesis) Pregnancy Interactions: May delay absorption of oral medications Use with insulin or other GLP-1 agonists can increase risk of hypoglycemia Interaction with sulfonylureas may require dose adjustments Reduced effectiveness of oral contraceptives due to delayed gastric emptying Caution with diuretics or medications that cause dehydration

Evening injection may reduce awareness of any injection-site reactions during sleep