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doi: 10.1016/j.nbd.2012.02.012 191 DaiLWatanabeMQureshiARMukaiHMachowskaAHeimbrgerOet al

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If the provider determines that semaglutide isn't appropriate, the patient is informed with an explanation of the clinical reasoning and, when possible, alternative recommendations

This is one of the most common questions, and the short answer is: only under a clinicians decision and supervision