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Semaglutide does not directly worsen AFib for most patients, but early side effects like mild heart-rate increases or palpitations can occur as your body adjusts

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Although cotadutide has progressed well through clinical trials, other GLP-1/glucagon co-agonists have shown mixed results

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In some cases, temporary dose reduction or pausing dose escalation of the GLP-1 medication may be appropriate while nutritional status is optimized, though this decision should be made collaboratively between patient and provider

This paper concludes by positioning the Portuguese case within broader international debates on housing crises and planning paradigms