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Use caution in Pancreatitis, Gallbladder Disease, Diabetic Retinopathy, Medullary Thyroid Carcinoma (MTC) and Multiple Endocrine Neoplasia Type 2
Semaglutide is typically suited for adults with overweight or obesity who are ready to pair medication with nutrition and lifestyle changes and who do not have specific contraindications such as certain thyroid cancers, multiple endocrine neoplasia type 2, or pregnancy
Lipase supplementation in particular may help with fat digestion, reducing the undigested fat that can cause osmotic diarrhea
Choose Ozempic if weight loss and aggressive blood sugar control are priorities Choose Januvia if cost, convenience and avoiding GI issues matter most
Gynecomastia, characterized by breast enlargement, occurs in 44% of cirrhosis cases, also due to elevated estrogen levels, and is related to conditions like extreme obesity, hypogonadism, and various adrenal and testicular diseases (88, 89)
As you reach your goal weight, the conversation naturally shifts from how much you can lose to how you will keep it off
