Semaglutide is not a controlled substance
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Semaglutide activates GLP-1 receptors throughout your gastrointestinal tract, and jumping to a high dose without gradual adjustment triggers nausea, vomiting, and diarrhea in most people
Tirzepatide is contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)