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The shift in 2025 and 2026 is that two oral GLP-1 options have entered the market for weight loss

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The result was largely driven by one large cohort, and neither study reported specific urinary malformation subtypes, limiting causal interpretation

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Millions of people who could not get brand-name semaglutide found alternatives through compounding

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The most likely explanation is that semaglutide side effects, particularly dehydration from GI symptoms , indirectly increase clot risk in some users, while the drug direct anti-platelet and anti-inflammatory effects provide protection in others

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Diabetes Ther 6 , 239256 (2015)

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