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Semaglutide can cause nausea, diarrhea, vomiting, stomachache and constipation, among other ailments

So, it strictly adheres to protocol, aka, Title 17 regulations

Pharmacovigilance and signal detection FAERS semaglutide disproportionality (broad): A FAERS-based disproportionality analysis of semaglutide reports through mid-2023 identified multiple unexpected adverse event signals and explicitly notes that some signals were not mentioned in the drug insert, including polycystic ovaries. The analysis highlights typical spontaneous-reporting limitations (missing age, outcome data)

Metformin also works well for better glycemic control