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Furthermore, excess homocysteine acts as a severe neurotoxin

This results in neurological complications involving the spinal cord

Then add escalation, missed-dose, measurement, monitoring, and red-flag context

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Severe Gastrointestinal Disease: Ozempic is associated with gastrointestinal side effects, such as nausea, diarrhea, vomiting, constipation, and stomach pain, and can sometimes be severe

Semaglutide is contraindicated in patients with a personal or family history of certain types of thyroid cancer, specifically thyroid C-cell tumors such as medullary thyroid carcinoma (MTC), or in patients with multiple endocrine neoplasia syndrome type 2 (MEN 2)