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Theres no pharmacokinetic interaction between semaglutide and metformin, and a systematic review confirmed the combination is safe and effective

NICE Technology Appraisal 875 (TA875) recommends semaglutide for weight management within specialist weight management services, typically for people with a BMI 35 kg/m with a weight-related comorbidity, or 30-34.9 kg/m in certain circumstances, alongside dietary modification and increased physical activity

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By tracking your muscle-to-fat ratio, you can ensure your progress is "healthy" weight loss

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So you're telling me you'd rather lose bone density than change your nutrition, lifestyle and exercise habits