semaglutide type 1 diabetes randomized trial 2024 Efficacy and safety of oral vs sitagliptin in a predominantly Chinese population with 2 uncontrolled with metformin: PIONEER 12, a double-blind, Phase IIIa, randomised | Diabetologia Enrollment of Females in Randomized
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Liver enzyme changes Liver function tests, specifically AST (aspartate aminotransferase) and ALT (alanine aminotransferase), may show changes on semaglutide

[B]ut concerns may be overstated

This includes awareness of personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2, and consideration of diabetic retinopathy status, as additional monitoring may be required if you have pre-existing retinopathy

Igor Sapozhnikov, MD, an obesity medicine doctor in Los Angeles

Beyond heart rate concerns, the combination creates a cascade of overlapping side effects: nausea from semaglutide paired with appetite suppression from phentermine can lead to inadequate calorie and nutrient intake
