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The regulatory concept of high similarity developed for protein biologics does not translate directly to a living cellular product

10.1046/j.1471-4159.2001.00635.x J

The most common side effects include: Nausea Vomiting Constipation Diarrhea Heartburn Stomach discomfort Reduced appetite Bloating These side effects are usually mild and improve as your body adjusts

Below BMI 27, most providers wont prescribe semaglutide for weight loss, though there are exceptions for patients who have Type 2 diabetes (where Ozempic is prescribed for blood sugar control rather than weight)

B12 might work better if your tiredness comes from being low on vitamins