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If your nausea is severe, persistent, or comes with symptoms like fever or intense stomach pain, seek emergency medical attention

That said, due to reports of disruption of acenocoumarol, a drug similar to warfarin, doctors are advised to watch for disruption in patients prescribed both warfarin and semaglutide and to adjust the dose of warfarin (or semaglutide) appropriately

Taking two doses within 24 hours creates blood levels far above the therapeutic range and significantly increases risk of severe nausea, vomiting, hypoglycemia (if you have diabetes), and pancreatitis

diabetes care, 19992010

However, it should be used under the guidance of a healthcare professional, and the benefits and risks should be carefully evaluated on an individual basis