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They may not be recommended if you: Have certain thyroid conditions Have a history of pancreatitis Are pregnant or breastfeeding Are allergic to any of the ingredients Always discuss your full medical history with your healthcare provider

Here are some other well-known options

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen may be used short-term, though caution is warranted in patients with cardiovascular disease, kidney impairment, uncontrolled hypertension, or gastrointestinal risk factors, and in those taking anticoagulants

Most patients starting semaglutide do not need b12 supplementation

Although timelines vary, steady progress is often a sign that the medication is working as intended