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You'll also need 6 months of documented diet and exercise efforts , and you may need to try another weight loss medication first (step therapy)

10.1523/JNEUROSCI.0529-11.2011 85 McIntyreR

Nausea and Dehydration Semaglutide can have side effects like nausea, vomiting, or diarrhea, which can lead to dehydration and, consequently, feelings of tiredness