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The evidence-based answer is nuanced: As monotherapy or with metformin: Ozempic has a very low intrinsic risk of causing hypoglycaemia

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10.1016/j.physbeh.2004.10.007 230 RimondiniR.ThorsellA.HeiligM

However, safety assessments of oral semaglutide in the SOUL trial ( 5 Conclusion Semaglutide significantly reduces cardiovascular risk in patients with T2DM, primarily by improving MACE, nonfatal myocardial infarction, and revascularization outcomes, while modestly lowering HF hospitalization risk

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News coverage has also documented an uptick in warning letters to online sellers and telehealth platforms that offer unapproved products