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Other medical reasons for pausing treatment include severe gastrointestinal adverse effects that don't improve with dose reduction or supportive measures, acute kidney injury related to dehydration from gastrointestinal side effects, severe hypoglycemia (particularly when combined with insulin or sulfonylureas), and worsening diabetic retinopathy

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The practical advice: enjoy the $99 compounded semaglutide while it lasts, but build a contingency plan