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However, prior to initiating combination therapy, a qualified provider should confirm that semaglutide monotherapy has been optimized and that metabolic biomarkers support the addition of lipotropic supplementation rather than dose adjustment, lifestyle modification, or alternative GLP-1 agents

That depends on your situation

While it might initially make us drowsy (sometimes to the point of dozing off in that comfy couch spot weve parked in for the night, or even on the train ride home), its actually a sleep saboteur