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Pros Cons Risk of common side effects : Common side effects associated with Janumet include nausea, diarrhea, and other gastrointestinal issues, primarily attributed to metformin

Turton et al., 1996)

The delayed gastric emptying caused by semaglutide can increase aspiration risk during anesthesia, so most surgeons recommend discontinuing the medication two to four weeks before scheduled procedures

Iversen, P

While no direct contraindications are established, alcohol may affect blood sugar and digestion, potentially amplifying side effects during early dose escalation

The best studied and current cornerstone of treatment for NAFLD is weight loss