step 5 semaglutide CONS: ⚠️ Gastrointestinal side effects: Nausea, vomiting, diarrhea, and constipation affect approximately 50-60% of patients, especially during initial treatment. ⚠️ Muscle loss: Up to 39% of weight lost may come from lean SpaDerma | Semaglutide | Tirzepatide
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