Adjustments can include slowing the titration schedule, increasing the pyridoxine component, adding ondansetron for breakthrough nausea, or switching to a different GLP-1 medication if semaglutide fundamentally does not agree with your system
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doi: 10.1016/S0006-2952(99)00155-0
The authors of the study concluded that the GLP-1 receptor agonist lixisenatide had a three-point beneficial effect, when compared with placebo, in the change over a 12-month period from a baseline value of approximately 15 points on a 132-point scale measuring motor disability. The active arm improved 0.04 points in the lixisenatide group and worsened 3.04 points in the placebo group