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it is acceptable to inject semaglutide and insulin in the same body region but injections should not be adjacent to each other Side Effects Very Common: may affect more than 1 in 10 people feeling or being sick (nausea or vomiting) diarrhea constipation stomach pain feeling weak or tired headache these usually goes away over time Common: may affect up to 1 in 10 people feeling dizzy upset stomach or indigestion burping gas (flatulence) bloating of the stomach inflamed stomach (gastritis) the signs include stomach-ache, feeling sick (nausea) or being sick (vomiting) reflux or heartburn also called gastro-esophageal reflux disease hair loss injection site reactions low blood sugar (hypoglycaemia) in patients with diabetes low blood pressure increase of pancreatic enzymes (such as lipase) shown in blood tests hemorrhoids upset stomach or indigestion burping gas (flatulence) bloating of the stomach inflamed stomach (gastritis) the signs include stomach-ache, feeling sick (nausea) or being sick (vomiting) reflux or heartburn also called gastro-esophageal reflux disease hair loss injection site reactions low blood sugar (hypoglycaemia) in patients with diabetes low blood pressure increase of pancreatic enzymes (such as lipase) shown in blood tests hemorrhoids Uncommon: may affect up to 1 in 100 people fast heartbeat increase of pancreatic enzymes (such as amylase) shown in blood tests feeling faint or fainting/passing out low blood sugar (hypoglycaemia) in patients without diabetes Pregnancy and Breastfeeding Tell your doctor if you are pregnant, think you might be pregnant, or are planning to become pregnant