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Malhotra A, Grunstein RR, Fietze I, et al
Specific considerations for autoimmune disease patients: Delayed gastric emptying may affect absorption of oral medications, including some immunosuppressants Monitoring challenges in distinguishing disease activity from medication side effects Importance of maintaining stable immunosuppression regimens Patients should seek immediate medical attention for severe, persistent abdominal pain (potential pancreatitis or gallbladder disease), vision changes, severe vomiting/dehydration, neck mass/hoarseness, or allergic reactions
While no direct pharmacokinetic interaction between ashwagandha and semaglutide has been established, several theoretical concerns warrant consideration based on the known properties of each substance