Diarrhea, constipation, and vomiting occur in varying degrees among patients
When clinicians see shutdown in someone with a known autism diagnosis, the default assumption is often sensory or social overload. And that may be part of the picture
( Epub 2019 Jun 18 )
Eating softer foods in smaller bites might help with swallowing if you have mild symptoms of Zenker's diverticulum

Semaglutide Impurity 24 Semaglutide Impurity 101 (D-Glu 3) Code: IS27846 Chemical Formula: C 187 H 291 N 45 O 59 Molecular Weight: 4,113.64 g/mol Synonyms : H-His-Aib-D-Glu-Gly-Thr-Phe-Thr-Ser-Asp-Val-Ser-Ser-Tyr-Leu-Glu-Gly-Gln-Ala-Ala-Lys(AEEA-AEEA--Glu-17-carboxy heptadecanoyl)-Glu-Ph e-Ile-Ala-Trp-Leu-Val-Arg-Gly-Arg-Gly-OH;H-H(Aib)(dE)GTFTSDVSSYLEGQAA(K/C18DA-(gE)(AEEA)(AEEA))EFIAWLVRGRG-OH Semaglutide Impurity 29 (beta-Asp-9) Code: IS27840 Chemical Formula: C 187 H 291 N 45 O 59 Molecular Weight: 4,113.64 g/mol Synonyms : H-His-Aib-Glu-Gly-Thr-Phe-Thr-Ser-beta-Asp-Val-Ser-Ser-Tyr-Leu-Glu-Gly-Gln-Ala-Ala-Lys(AEEA-AEEA--Glu-17-carboxy heptadecanoyl)-Glu -Phe-Ile-Ala-Trp-Leu-Val-Arg-Gly-Arg-Gly-OH;H-H(Aib)EGTFTS(betaD)VSSYLEGQAA(K/C18DA-(gE)(AEEA)(AEEA))EFIAWLVRGRG-OH Semaglutide Impurity 51 (D-Thr 7) Code: IS27841 Chemical Formula: C 187 H 291 N 45 O 59 Molecular Weight: 4,113.64 g/mol Synonyms : H-His-Aib-Glu-Gly-Thr-Phe-D-Thr-Ser-Asp-Val-Ser-Ser-Tyr-Leu-Glu-Gly-Gln-Ala-Ala-Lys(AEEA-AEEA--Glu-17-carboxy heptadecanoyl)-Glu-Ph e-Ile-Ala-Trp-Leu-Val-Arg-Gly-Arg-Gly-OH;H-H(Aib)EGTF(dT)SDVSSYLEGQAA(K/C18DA-(gE)(AEEA)(AEEA))EFIAWLVRGRG-OH Semaglutide Impurity 54 (D-Ala 18) Code: IS27842 Chemical Formula: C 187 H 291 N 45 O 59 Molecular Weight: 4,113.64 g/mol Synonyms : H-His-Aib-Glu-Gly-Thr-Phe-Thr-Ser-Asp-Val-Ser-Ser-Tyr-Leu-Glu-Gly-Gln-D-Ala-Ala-Lys(AEEA-AEEA--Glu-17-carboxy heptadecanoyl)-Glu-Ph e-Ile-Ala-Trp-Leu-Val-Arg-Gly-Arg-Gly-OH;H-H(Aib)EGTFTSDVSSYLEGQ(dA)A(K/C18DA-(gE)(AEEA)(AEEA))EFIAWLVRGRG-OH Semaglutide Impurity 56 (D-Glu 21) Code: IS27843 Chemical Formula: C 187 H 291 N 45 O 59 Molecular Weight: 4,113.64 g/mol Synonyms : H-His-Aib-Glu-Gly-Thr-Phe-Thr-Ser-Asp-Val-Ser-Ser-Tyr-Leu-Glu-Gly-Gln-Ala-Ala-Lys(AEEA-AEEA--Glu-17-carboxy heptadecanoyl)-D-Glu-Ph e-Ile-Ala-Trp-Leu-Val-Arg-Gly-Arg-Gly-OH;H-H(Aib)EGTFTSDVSSYLEGQAA(K/C18DA-(gE)(AEEA)(AEEA))(dE)FIAWLVRGRG-OH Semaglutide Impurity 59 Code: IS27844 Chemical Formula: C 187 H 291 N 45 O 59 Molecular Weight: 4,113.64 g/mol Synonyms : H-His-Aib-Glu-Gly-Thr-Phe-Thr-Ser-Asp-Val-Ser-Ser-Tyr-Leu-Glu-Gly-Gln-Ala-Ala-Lys(AEEA-AEEA--Glu-17-carboxy heptadecanoyl)-Glu-Phe- Ile-Ala-Trp-Leu-Val-D-Arg-Gly-Arg-Gly-OH;H-H(Aib)EGTFTSDVSSYLEGQAA(K/C18DA-(gE)(AEEA)(AEEA))EFIAWLV(dR)GRG-OH Semaglutide Impurity 60 (D-Arg 30) Code: IS27845 Chemical Formula: C 187 H 291 N 45 O 59 Molecular Weight: 4,113.64 g/mol Synonyms : H-His-Aib-Glu-Gly-Thr-Phe-Thr-Ser-Asp-Val-Ser-Ser-Tyr-Leu-Glu-Gly-Gln-Ala-Ala-Lys(AEEA-AEEA--Glu-17-carboxy heptadecanoyl)-Glu-Phe- Ile-Ala-Trp-Leu-Val-Arg-Gly-D-Arg-Gly-OH;H-H(Aib)EGTFTSDVSSYLEGQAA(K/C18DA-(gE)(AEEA)(AEEA))EFIAWLVRG(dR)G-OH D-Ser(11)-Semaglutide Code: IS27839 Chemical Formula: C 187 H 291 N 45 O 59 Molecular Weight: 4,113.64 g/mol Synonyms : H-His-Aib-Glu-Gly-Thr-Phe-Thr-Ser-Asp-Val-D-Ser-Ser-Tyr-Leu-Glu-Gly-Gln-Ala-Ala-Lys(AEEA-AEEA--Glu-17-carboxy heptadecanoyl)-Glu-Ph e-Ile-Ala-Trp-Leu-Val-Arg-Gly-Arg-Gly-OH;H-H(Aib)EGTFTSDV(dS)SYLEGQAA(K/C18DA-(gE)(AEEA)(AEEA))EFIAWLVRGRG-OH D-Ser-(12)-Semaglutide Code: IS27838 Chemical Formula: C 187 H 291 N 45 O 59 Molecular Weight: 4,113.64 g/mol Synonyms : H-His-Aib-Glu-Gly-Thr-Phe-Thr-Ser-Asp-Val-Ser-D-Ser-Tyr-Leu-Glu-Gly-Gln- Ala-Ala-Lys(AEEA-AEEA--Glu-17-carboxy heptadecanoyl)-Glu-P he-Ile-Ala-Tr p-Leu-Val-Arg-Gly-Arg-Gly-OH;H-H(Aib)EGTFTSDVS(dS)YLEGQAA(K/C18DA-(gE)(A EEA)(AEEA))EFIAWLVRGRG-OH

A clinically overseen formulation from a compounding pharmacy with appropriate quality controls is a fundamentally different thing from a DIY peptide dissolved in DMSO at home