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However, because the Wegovy pill contains the same active ingredient as the Wegovy injection (semaglutide), the same modest heart-rate increase noted across the GLP-1 class may apply, so cardiovascular assessment before starting and monitoring during treatment remain appropriate

10.1146/annurev-nutr-082018-124344 80 ChiantiaG.ComaiD.HidisogluE.GurgoneA.FranchinoC.CarabelliV.et al

J Biosci Bioeng 100:593599 Howe G, Merchant S (1992) Heavy metal-activated synthesis of peptides in Chlamydomonas reinhardtii

Do not use Zepbound if: You or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)

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