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Common Side Effects: Nausea and Vomiting : Frequently occurs when starting semaglutide or increasing the dose Diarrhea: Common during the initial phase of treatment Constipation : Affects some patients during treatment Abdominal Pain : This may occur, often mild to moderate Headache : This can occur, especially at the start of treatment Fatigue : Ensure sufficient rest and a balanced diet

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When using bismuth subsalicylate with semaglutide, maintain a 2-hour spacing between medications to avoid potential absorption interactions. 4

Skipping meals worsens nausea (empty stomach + delayed emptying = more acid)