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Studies, such as those published in PubMed Central, emphasize that there may not be a significant difference in adverse reactions between injectable and oral forms of semaglutide

[1] [2] It has not received marketing authorisation from the Medicines and Healthcare products Regulatory Agency (MHRA) or the European Medicines Agency (EMA), and is therefore not an approved medicine available through standard NHS prescribing channels

10 , e2207170 (2023)

It does this by increasing insulin secretion and reducing the amount of glucose produced by the liver