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However, some peoples digestion systems have slowed down to the point of blockage and paralysis, leading to serious, long-term health issues

Semaglutide is generally not used in people with a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2

Skipping titration steps increases the risk of severe nausea, vomiting, diarrhea, and constipation

However, several factors could accelerate a reversal: declining GLP-1 drug prices through manufacturer competition or government negotiation, improved adherence data from newer formulations, long-term outcomes studies demonstrating cardiovascular benefit that changes the cost-benefit analysis, and state legislative mandates requiring obesity treatment coverage

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The 2022 guidelines convey patient-centered updates regarding the language we use to communicate disease considerations (e.g., stages of HF) and practice-changing guidance around the diagnosis and management of HF including newer therapeutics (e.g., SGLT2i)
