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Patients with a history of depression or suicidal thoughts should be monitored closely, and those experiencing persistent severe nausea or vomiting should be evaluated for gastroparesis

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It also explains why the transition is a clinical decision rather than an administrative one, since glycemic control, other diabetes medications, and any insulin or insulin secretagogue in the regimen all interact with the change

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Clinical Note: These outcomes are based on trials involving FDA-approved semaglutide products

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