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No, clinical evidence shows that fasting before or after semaglutide injection does not improve its weight loss effects
However, in the studies that reported the use of a specific medication, the most frequently used SGLT2i was dapagliflozin (10/54), followed by empagliflozin (5/54) and canagliflozin (5/54) and the most frequently used GLP1-RA was exenatide (10/54) followed by semaglutide (6/54) and liraglutide (5/54)
Psyllium husk supplements add bulk without the fermentation that causes gas with other fiber sources, making them a gentler option for sensitive digestive systems already adapting to GLP-1
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But you can ask your pharmacy what formulation they use and whether they have stability data specific to that formulation
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