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Paul Rivas, MD, Rivas Medical Weight Loss Compounded Semaglutide: What Are the Extra Risks

Semaglutide is a long-acting glucagon-like peptide-1 (GLP-1) analog

If you plateau at a certain dose, you can escalate further

Similarly, if you develop symptoms suggestive of medullary thyroid carcinoma (a neck mass, dysphagia, persistent hoarseness) or have a personal or family history of this cancer or Multiple Endocrine Neoplasia syndrome type 2, semaglutide must be discontinued

In glycemic control clinical trials, the risk of hypoglycemia was increased when semaglutide injection or tablet was used concomitantly with insulin or an insulin secretagogue (e.g., sulfonylurea)

Not to mention that there are fewer than 100 doctors who have completed a fellowship in obesity medicine and are actively practicing in the U.S