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Have cardiovascular disease or significant risk factors You've had a heart attack, stroke, or have multiple risk factors like high blood pressure, high cholesterol, and diabetes

Semaglutide's appetite-suppressing effects can lead to unintentional undereating, which may result in insufficient energy

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Its a more complicated process, Dr Preethi says

Solutions like apps that log meals, fiber and protein intake, hydration, dosing times, and symptoms centralize that context, making it easier to spot the sugar alcohols or meal combos that consistently precede bad episodes, and to test minor adjustments with confidence