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And we know that the GLP-1 medications have a risk of nausea, vomiting and delay of gastric emptying. Still, Acosta was not overly swayed by the studys findings, saying some of the side effects listed in it could be the result of patients rapid weight loss, not the medications

Effects of L-carnitine and L-acetyl-carnitine on testicular sperm motility and chromatin quality. Iranian journal of reproductive medicine 10.2 (2012): 77

When combined with semaglutide's slower gastric transit, caffeine may create competing signals that some patients experience as nausea, reflux, or stomach discomfort

It inhibits calcium secretion and protects against hypercalcemia (Mullur et al