Contact your prescriber if: you experience severe or persistent nausea that prevents eating for more than 48 hours, you notice signs of pancreatitis (severe abdominal pain radiating to the back), you develop symptoms of gallbladder problems (sharp upper right abdominal pain after eating), you experience persistent vomiting that does not respond to dietary modifications, you have a known history of medullary thyroid carcinoma or MEN 2 syndrome (semaglutide is contraindicated), or you develop an allergic reaction (rash, swelling, difficulty breathing) at any point
GLP-1 agonists and tirzepatide achieve 1522% weight loss in clinical trials DSMES (Diabetes Self-Management Education and Support): ADA 2026 Recommendation 5.2 provide DSMES at diagnosis, annually, when complications develop, and at life transitions
Semaglutide itself doesnt directly break down muscle, but weight loss can include some loss of lean mass if muscle isnt supported
GLP-1, or glucagon-like peptide-1, is a hormone produced in the gut