The symptom was not identified in any of the drug's phase 3 trials, which enrolled thousands of participants to evaluate semaglutide's safety
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Lactic acidosis reports were markedly lower with combination therapy (567 vs 15,789), as were acute kidney injury (675 vs 7,694), diarrhoea (3,890 vs 6,922), and metabolic acidosis (203 vs 4,713), suggesting that the addition of GLP-1 RAs to metformin may mitigate serious adverse effects associated with metformin alone (Table 2)
Kidney Int 102 , 248260 (2022) R
377 However, owing to the role of Notch in normal tissue homeostasis, on-target gastrointestinal toxicity has limited the clinical application of Notch signaling inhibitors