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These drugs include GLP-1R agonists like Semaglutide, Liraglutide, Dulaglutide, and PEG-Loxenatide, and the GIPR/GLP-1R dual agonist Tirzepatide

According to the MHRA SmPC and EMA EPAR for Wegovy, there is no signal that semaglutide directly worsens hiatal hernia or causes structural changes to the oesophageal hiatus

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No, Wegovy does not cause insomnia or difficulty sleeping