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Nevertheless, these findings have not been replicated in robust human clinical trials, and the relevance to Hashimoto's management remains speculative

This may be related to the formulation vehicle rather than the semaglutide itself

doi: 10.1016/j.arr.2023.101999

Another study indicates that starting treatment with a lower dose and gradually increasing it helped reduce the incidence of gastrointestinal adverse events [64]

Because it's a self-injected biologic you administer at home, it falls under Medicare Part D , not Part B
