Common side effects include nausea, vomiting, diarrhoea, constipation, abdominal discomfort, bloating, headache and fatigue
Animal studies have shown that GLP-1 activation in the brain correlates with reduced anxiety-like behaviors and improved stress resilience, suggesting a direct neurological mechanism separate from weight loss
Bottom Line: Patients need to be cautious and understand microdosing is not evidence-based it has not been studied in clinical trials, McGowan says
When to Adjust Your Dose and What to Expect Most patients begin semaglutide at a starting dose and increase gradually every four weeks until reaching an effective maintenance dose, typically between 0.5mg and 2.4mg weekly
If you've already started and you're not responding, get full thyroid bloodwork before increasing the dose
Diabetes Care 43 , 588596 (2020)