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A personal or family history of medullary thyroid carcinoma Multiple Endocrine Neoplasia syndrome type 2 A history of pancreatitis or gallbladder disease Kidney problems or previous dehydration Diabetic retinopathy Severe digestive disorders, reflux, nausea, or vomiting Pregnancy plans or a suspected pregnancy Insulin, sulfonylureas, oral contraceptives, and all other medications A supervised plan can help match dosing, nutrition, symptom monitoring, and follow-up to the individual rather than treating every patient the same way
the side effects include stomach paralysis ( Severe gastrointestinal, intestinal blockage and vision loss / NAION
Could also be a B12 deficiency slowly eroding your nerve function
Using tools like the GLP-1 progress plotter to track multiple variables over time, including sexual function, helps distinguish temporary disruptions from persistent concerns
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