As with any medication, it's important to discuss with a healthcare provider whether a GLP-1 receptor agonist is a suitable option for managing diabetes
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Effect of oral semaglutide on cardiovascular parameters and their mechanisms in patients with type 2 diabetes: rationale and design of the semaglutide anti-atherosclerotic mechanisms of action study (SAMAS)
Chicago Arthritis's overview of GLP-1, CJC-1295, AOD-9604, and related peptides lists nausea, headaches, and fluid retention as possible side effects and stresses that any peptide plan, especially a combined or "stacked" protocol, needs to be built and monitored by a knowledgeable physician (chicagoarthritis.com)