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It's miscalculating the concentration after mixing

Its oral bioavailability is achieved by incorporating the absorption enhancer SNAC (Sodium N-[8-(2-hydroxybenzoyl)amino]caprylate), which works through two mechanisms: (1) temporarily raising the local pH in the stomach to reduce pepsin-induced degradation of the peptide drug, and (2) forming hydrophobic ion pairs (HIP) with the peptide drug, improving its membrane permeability

Interestingly, some macrolides themselves can affect stomach emptying, which means combining them with semaglutide could amplify digestive slowdown

It follows the same import rules as the other medications covered here