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A smaller subset of patients report fatigue and constipation during the first two weeks
DPP4i, Dipeptidyl peptidase-4 inhibitors
Semaglutide also slows gastric emptying, which moderates postprandial glucose excursions and reduces the insulin demand placed on already resistant tissues
10.1056/NEJM199807233390404
While Topamax alone is not FDA-approved for weight loss, it is a key component of the FDA-approved combination drug, Qsymia, which includes topiramate and phentermine, a prescription appetite suppressant
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