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You have not maximized your semaglutide dose If you are still on 0.5 or 1.0 mg of semaglutide and feel like it is not working, increasing your semaglutide dose is the first step

Titration: If further glycemic control is required after at least 30 days on 7mg/day, the dose may be increased to 1 mg orally once daily

The semaglutide dosage calculator can confirm the conversion for any concentration

In between the two extremes of science done purely for creating knowledge and science done for the sake of making useful things, there seems to be another way, a balance between discovery and invention