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Many patients experience: Delayed gastric emptying Severe nausea Bloating Early satiety Semaglutides mechanism includes: Slowing gastric emptying Reducing GI motility Increasing satiety via vagal pathways Clinical observations also increasingly report: Worsening nausea Increased bloating Vomiting Gastroparesis-like symptoms So, while potentially beneficial in metabolic disease or overweight patients, in individuals already predisposed to gastrointestinal dysmotility, autonomic dysfunction, and vagal dysregulation, these effects can be extremely problematic and counterproductive
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Studies typically show improvements in fasting glucose, HbA1c, and HOMA-IR (a measure of insulin resistance) after 12-24 weeks of treatment