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The table below outlines our policy when it comes to what your starting dose of the new Wegovy pills could be: Your clinician will advise you on the best way to switch to the Wegovy tablet to ensure everything is safe and suitable for your circumstances

Early weeks focus on dose escalation to minimise gastrointestinal side effects

Semaglutide creates a significant calorie deficit, often 500 to 1,000 calories below maintenance, and without adequate protein stimulus, the body sacrifices muscle to fill the gap

Metformin-specific considerations include the rare risk of lactic acidosis, particularly in patients with renal impairment

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