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Over-dosing or skipping titration steps can cause severe nausea, dehydration, gastroparesis (delayed stomach emptying), and in rare cases pancreatitis or hypoglycemic events

In these scenarios the benefits - improved energy, corrected anemia, and sometimes neurological recovery - outweigh the minimal risks

There are no adequate data or clinical studies of semaglutide use for the treatment of type 2 diabetes mellitus (T2DM) in pregnant women to inform a drug-associated risk for adverse developmental outcomes

Are there risks to supplementing with Vitamin B6 or B12

For 12-week protocol (56mg total): Six 10mg vials

Table 2 SORT recommendations for clinical practice