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[55] Concurrently, semaglutide inhibits the release of glucagon from pancreatic alpha cell, which decreases glucose production by the liver (gluconeogenesis) and maintains blood sugar level stability, particularly preventing sharp spikes after meals

This does not mean injections are unnecessary it means they are not automatically superior for every patient

It also supports healthy red blood cells and your nervous system, which can play a role in how clear and steady you feel during the day

While adverse event reports do not establish causation (the events may have been caused by factors unrelated to the compounded medication), the volume of reports signals a need for heightened caution