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Adding semaglutide to this regimen is generally safe but requires: Insulin or sulfonylurea dose reduction if applicable BP monitoring with potential antihypertensive dose reduction INR check for warfarin patients TSH check 6-8 weeks after starting for thyroid patients Glucose monitoring during titration A medication review with the prescriber and pharmacist is part of standard care

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Factors such as needle anxiety, cost concerns, side effects, or lifestyle challenges may require additional support or alternative treatment strategies

Zepbound helps by reducing appetite, but it doesnt guarantee a calorie deficit

For anyone interested in NAD+ supplements, Life Extension offers two products that contain Niagen, the form of NR you'll find in Tru Niagen a competing product