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They may include: nausea, vomiting, diarrhea, constipation, abdominal pain, headache, fatigue, dyspepsia, dizziness, abdominal distention, eructation (burping), hypoglycemia in patients with diabetes, flatulence, gastroenteritis, gastroesophageal reflux disease, and nasopharyngitis
Practical protein sources that tend to be well tolerated on semaglutide include: Eggs Greek yogurt or cottage cheese Poultry and fish Tofu or tempeh Lentils and beans Whey-based or plant-based protein shakes when solid food feels unappealing Protein and overall nutrition can be monitored with markers like albumin and, when needed, prealbumin, as well as body composition trends, such as changes in lean mass on DXA scans
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Forbes JD, Van Domselaar G, Bernstein CN (2016) The gut microbiota in immune-mediated inflammatory diseases
Protocols generally space dosing 1-2 hours from meals
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