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Kidney Problems : In some cases, semaglutide may cause or worsen kidney problems

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3.2% of those receiving subcutaneous semaglutide and 4.8% of those receiving oral semaglutide were 75 years of age and older

Avoid acidic/sugary foods, stay nutrient-balanced, and rinse after vomiting

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Mitigation: adequate protein intake (this protects against protein deficiency-related hair loss), zinc supplementation, biotin supplementation, iron monitoring particularly in women (the semaglutide and menstrual cycle guide covers hormonal and nutritional considerations for women)