C th cn gim liu insulin hoc sulfonylurea Thuc ung khc nh hng hp thu Semaglutide lm chm rng d dy, c th nh hng n tc hp thu ca thuc ung: V d cn lu : Khng sinh ng ung Thuc trnh thai ung Thuc tim mch (digoxin) Thuc chng ng ng ung Levothyroxine Thng thng khng cn chnh liu, nhng: Nn theo di hiu qu iu tr Vi thuc c khong iu tr hp, cn thn trng Thuc iu tr i tho ng khc Metformin: Khng c tng tc c ngha lm sng DPP-4 inhibitors (sitagliptin, vildagliptin): Khng khuyn co phi hp (trng c ch, t li ch thm) SGLT2 inhibitors (dapagliflozin, empagliflozin): C th phi hp, hiu qu tt Thuc gy ri lon tiu ha Thuc NSAIDs Thuc gy kch ng d dy C th lm nng thm bun nn, nn, au bng khi dng cng Orsema Ru bia Khng phi tng tc trc tip Nhng c th: Lm tng nguy c h ng huyt Lm nng tc dng ph tiu ha Hn ch ru bia khi dng thuc Tng tc khng ng k Semaglutide khng c ch hay cm ng CYP450 t tng tc chuyn ha thuc so vi nhiu thuc khc Thuc Orsema Semaglutide gi bao nhiu
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Terashima, T., Takido, J., & Yokogoshi, H
Heres what current knowledge suggests: Thyroid Safety Considerations: Clinical studies have not found a direct adverse effect of semaglutide on thyroid function
33 Overall, metabolic-bariatric surgery is supported by durable evidence showing significant improvement in liver fibrosis and steatosis in patients with MASH
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