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Serious risks are rare but include lactic acidosis with metformin (especially if kidney function is impaired) and pancreatitis with GLP-1 drugs
They can help monitor you closely after your first few injections and discuss whether pre-treatment with antihistamines or other precautions might be appropriate
Sleep disruption is typically mild and temporary, resolving with dose stabilization or minor lifestyle adjustments
You can consult with a provider online and get a prescription for semaglutide without ever stepping into a doctors office or a bricks-and-mortar pharmacy
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