You may just be taking more of a bad product
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With heartburn, you may feel a burning sensation in your throat, neck or behind your breastbone (sternum)
Zeng Y, Li C, Guan M, Zheng Z, Li J, Xu W, et al
The reduced incretin effect of GIP in diabetic subjects may be due to the down-regulation of GIP receptor expression, which has been found in pancreatic islets of diabetic Zucker rats and reverted following correction of hyperglycemia [35]
What if I develop side effects I can't tolerate on semaglutide