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In people with type 2 diabetes who also use insulin or insulin-stimulating drugs, such as sulfonylureas, the risk of low blood sugar, also called hypoglycemia, may be increased, so the doses of those medicines may need to be lowered

Keep a simple journal noting dose, side effects, appetite level, and weight

Albeit the FDA included the black box warning, but multiple studies, independent and meta analysis have come out that show zero increased risk for thyroid cancer of any kind associated with GLP1s

Advanced gastric or gastroesophageal junction adenocarcinoma, in combination with chemotherapy or trastuzumab (for HER2-positive tumors)

Because of these differences, doctors need to consider each patients unique health situation when deciding if semaglutide could help them