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If you go higher on it, and its too much, you can have more side effects. He advises people on semaglutide, which he describes as a powerful medication, to take it only under strict guidance of a medical professional multiple ones, actually

"I lost 18 pounds in 8 weeks, my energy is through the roof, and my skin is glowing

Prior to that, Rybelsus was the only FDA approved GLP-1 drug available in pill form, but it was approved for diabetes control and only used secondarily (or, "off label") for weight loss