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If you find that nausea is worse at a particular time of day, try adjusting the timing of your semaglutide dose or changing how you take it (with your doctors approval, of course)

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The SURPASS trials enrolled over 13,000 patients and found gastrointestinal side effects like nausea in a subset, but documented severe gastroparesis was extremely uncommon and comparable to placebo

Scientific References Hydroxocobalamin: a medicine to treat vitamin B12 deficiency