Availability is based on medical eligibility
For semaglutide, the main concerns include pancreatitis (rare but documented), gallbladder events (including gallstones, particularly during rapid weight loss), and a theoretical concern about medullary thyroid carcinoma based on rodent studies
As highlighted in these recent studies, the pancreas appears to fare better when systemic insulin resistance, inflammation, and triglycerides are brought under control
(1) Semaglutide relies on a few different mechanisms of action within the body
Expertise, Safety, and Personalized Care From a Bariatric Surgeon-Led Program A Physician-Led Program With Deep Expertise in Metabolic and Bariatric Care Most medical weight loss programs are not run by bariatric surgeons