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The Precision Peptide Genetic Test can also reveal whether your genetic variants in FTO, MC4R pathways suggest enhanced responsiveness to combination therapy

These can all lead to spikes in blood sugar and increase side effects of semaglutide, including heartburn, nausea and constipation, he says

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Eat Small, Frequent Meals Not Three Large Ones Because Ozempic slows gastric emptying, large meals cause significant nausea and reflux