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The standard protocol is to start semaglutide first, allow 4 to 6 weeks of adjustment, and then introduce keto
Cardiovascular Effects of GLP-1 Drugs There is no established direct link between GLP-1 receptor agonists and an increased risk of blood clots (venous thromboembolism or arterial thrombosis)
During the first month of semaglutide therapy, most patients experience modest weight losstypically 1-2% of baseline body weight, or approximately 2 to 5 poundsas the medication is initiated at lower doses
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