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People who are pregnant or breastfeeding, or who have a history of medullary thyroid carcinoma or MEN 2, generally should not

Burping more than usual (slowed gastric emptying produces more gas)

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Clinical experience shows that separating semaglutide injection from oral levothyroxine by at least 30 minutesideally taking levothyroxine on an empty stomach in the morning and semaglutide laterminimizes any absorption concerns