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With that said, the most common side effects of compounded semaglutide include: Dizziness Fatigue Diarrhea Constipation Bloating or gas Headache Nausea Vomiting Stomach cramping or pain If you start to notice these or any other more severe side effects of taking compounded semaglutide, you should stop taking your weekly injections and contact your doctor immediately to seek medical attention and discuss your options

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DPP-4 inhibitors (especially saxagliptin and alogliptin) are not recommended for patients with diabetes with heart failure, but linagliptin or sitagliptin can be used to lower glucose levels if a GLP-1 receptor agonist is not indicated (BMI 28 kg/m² the use of GLP-1 receptor agonists, in combination with metformin or as monotherapy in the case of metformin intolerance, in the therapy of type 2 diabetes mellitus is reimbursed by health insurance

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