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We start treatment at a lower dose and gradually increase it over several weeks to reduce the risk of gastrointestinal side effects, which are the most common with semaglutide GLP-1
Clearly communicate aspiration risk to the team to align preparation and roles There are no formal ED-specific guidelines, but EM and anesthesia literature consistently emphasize increased vigilance rather than major practice change
Glutathione levels are also decreased after a concussion
Other notable side effects include injection site reactions and hypoglycaemiaparticularly when Ozempic is used in combination with insulin or sulphonylureas
Three practical steps reduce this risk without requiring additional clinical work: Provider education: Clinicians should understand that documenting peripheral neuropathy or distal symmetric neuropathy in patients with Type 2 diabetes enables E11.42 assignment rather than E11.40
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