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Most researchers recommend cycling protocols (8-12 weeks on, 4 weeks off) rather than continuous indefinite use until more long-term data becomes available

Complete Blood Count (CBC): Measures blood levels to assess the extent of blood loss

If semaglutide produces similar side effects, the issue is likely GLP-1 related rather than GIP related, and a non-GLP-1 alternative like Qsymia or Contrave becomes the better path