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The correct method is to start low and titrate the dose up according to the protocol's schedule

The recommended sequence: oral semaglutide first, wait 30 minutes, then levothyroxine or PPI, then wait another 30 minutes before eating

doi: 10.3389/fpsyg.2025.1498717, 51

This involves considering a sustainable and balanced nutritional approach, physical activity that aligns with your lifestyle, stress management, and sleep

For women who already had GERD before starting GLP-1 therapy, the medication commonly worsens the existing condition in the early months

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