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While not a listed adverse reaction in the SmPC, persistent forceful vomiting can theoretically lead to Mallory-Weiss tearssmall lacerations in the oesophageal mucosa that may bleed

So while the effect of food-based GLP-1 stimulation may be much shorter-lived, it still supports meaningful improvements in appetite regulation, blood sugar balance, and overall metabolic healthespecially when these dietary strategies are practiced consistently (not rigidly or militantly)

By 2024, Ozempic had surpassed Trulicity, also approved for type 2 diabetes (not obesity) to make up the largest share of GLP-1 prescriptions and spending (39% in 2024)

It is easy to assume these are the best options because of the high milligram count