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The mixing may occur at the atrial level (ASD or PFO), ventricular level (VSD) or at the arterial level (PDA)

doi: 10.1210/jc.2015-3754

Fatigue Taking semaglutide can make you feel more tired than usual, especially for the first few weeks while your body grows accustomed to the medication

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Your doctor may recommend taking these medications at different times to avoid interactions