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The highest dose wins on paper, but only by 1.4 percentage points over 10 mg, while gastrointestinal side effects keep rising and discontinuation creeps up

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Semaglutide overview: this article covers what it is, how it works mechanically, FDA-approved indications, common and serious side effects including the class boxed-warning context, April 2026 cost landscape, and the FTO, GLP1R, MC4R, and TCF7L2 variants that shape every GLP-1 response

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