Common side effects include nausea, diarrhea, and constipation, which often diminish as your body adjusts to the medication
A 2023 study gave participants a 2g dose of dried anise plant and found they produced a higher mean volume of breast milk compared to the placebo and control groups.58 That 2g dosage is likely higher than the amount you get in a day's worth of Liquid Gold, especially since anise is the final ingredient on the blends list meaning its the least prominent one by weight.61 Anise does contain anethole (as discussed above, under Fennel), so there's a potential for toxicity at excessive doses which, again, you're unlikely to get from Liquid Gold
This study found that a variant in the GIPR gene (rs1800437, also known as p.Glu354Gln) was associated with a higher risk of nausea and vomiting, but only in people taking tirzepatide
For type 2 diabetes, alternatives to Semaglutide include other GLP-1 receptor agonists with similar efficacy but potentially different side effect profiles, like liraglutide or dulaglutide