In glycemic control clinical trials, the risk of hypoglycemia was increased when semaglutide injection or tablet was used concomitantly with insulin or an insulin secretagogue (e.g., sulfonylurea)
Preventive measures such as maintaining good posture, engaging in regular exercise, and using ergonomic furniture can also reduce the risk
NASH caused hepatomegaly, fibrosis, and inflammation in all mice, with aged mice showing increased heart weight, left ventricular volumes, and subtle systolic and diastolic dysfunction, thus NASH tends to worsen age-related cardiac dysfunction [37]
Patients may experience slower weight loss than expected or weight stability rather than reduction when taking both medications concurrently
This delayed peak explains why some people experience a temporary dip in appetite suppression during the first month after switching