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Three practical steps reduce this risk without requiring additional clinical work: Provider education: Clinicians should understand that documenting peripheral neuropathy or distal symmetric neuropathy in patients with Type 2 diabetes enables E11.42 assignment rather than E11.40
We start treatment at a lower dose and gradually increase it over several weeks to reduce the risk of gastrointestinal side effects, which are the most common with semaglutide GLP-1
However, Wegovy is not recommended for people with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2), so your medical history should always be reviewed before treatment
Other notable side effects include injection site reactions and hypoglycaemiaparticularly when Ozempic is used in combination with insulin or sulphonylureas
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