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The most significant concern is hypoglycaemia (low blood sugar), particularly when alcohol is consumed without adequate food intake
In total, seven studies assessed different oral doses of semaglutide.1521 Additionally, 4 and 9 studies analysed low (0.51mg) and high (1.72.4mg) weekly subcutaneous doses of semaglutide, respectively.6,2334 One study evaluated two active arms: daily oral semaglutide and weekly subcutaneous semaglutide at doses of 0.51mg.22 Overall, 12 studies included all patients with T2DM,1520,22,2426 while another 7 studies considered this condition as an exclusion criterion (instead studying patients with overweight or obesity).6,21,2731 Two studies included patients with or without T2DM.32,34 Across all studies, a history of pancreatitis was consistently regarded as an exclusion criterion
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Elevated cortisol concerns require GP evaluation, including screening tests such as late-night salivary cortisol or 24-hour urinary free cortisol
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