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Trying to start both simultaneously creates a perfect storm of side effects: keto flu symptoms colliding with semaglutide adjustment symptoms, each amplifying the other

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Zinman B, Bhosekar V, Busch R et al (2019) Semaglutide once weekly as add-on to SGLT-2 inhibitor therapy in type 2 diabetes (SUSTAIN 9): a randomised, placebo-controlled trial

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