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Common Side Effects (and When They Show Up) If youve just started semaglutide, you might notice some of the following symptoms during your first few doses: Nausea Diarrhea Constipation Fatigue Headache Indigestion or heartburn Bloating, gas, or burping (sometimes with a strong, sulfur-like smell) Dizziness Feeling full quickly or loss of appetite These are all pretty typical and tend to show up within the first 4 to 8 weeks, especially when youre adjusting to the medication or increasing your dose

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Vitamin B3 (niacin) is involved in the citric acid cycle, in acetyl-CoA formation, and its coenzyme transitions from NAD+ to NADH