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He also reviews the medical history of the patient and completes a physical exam to determine if they are a good candidate

You can not be treated with semaglutide if you have: Medullary Thyroid cancer Multiple endocrine neoplasia Type 1 Diabetics Type 2 diabetics already taking a GLP-1 medication History of pancreatitis Chronic kidney disease (unless cleared by nephrologist) Nursing, Pregnant, or trying to get pregnant You can still use phentermine if you have any other medical conditions not listed above

Most patients notice reduced appetite within 1-2 weeks of their first semaglutide dose