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Gastrointestinal adverse events (nausea, vomiting, constipation, diarrhea) scale with dose in the STEP program, and about 4.5% of patients discontinue for GI reasons on 2.4 mg semaglutide (Wilding et al., NEJM 2021)

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In 2025, the European Medicines Agency concluded that NAION should be listed as a very rare side effect of semaglutide medications, including Ozempic, Wegovy, and Rybelsus, after reviewing clinical studies, adverse event reports, and post-market safety data

Gastrointestinal Symptoms: The second most frequent category of adverse events involved digestive system effects

Method accuracy was demonstrated by recovery values being within 15% of the nominal concentrations for all QC samples

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