[6] [7] In individuals already engaging in intense physical training, this may compound cardiovascular risk
It helps make hunger less insistent, reduces how often you get hungry, and makes it take less to sate that hunger
However, you are NOT a good candidate for semaglutide if you have any of the following: diabetic retinopathy, low blood sugar, decreased kidney function, pancreatitis, medullary thyroid cancer (or a family history of medullary thyroid carcinoma), or multiple endocrine neoplasia type 2
"These adverse events, although rare, must be considered by patients who are contemplating using the drugs for weight loss," the authors wrote
Fatigue and energy changes Some patients report initial fatigue when starting semaglutide, which can be confusing given that one of the supposed benefits of adding methylcobalamin is improved energy