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Semaglutide May Be Ideal If You: Have a BMI 30 or 27 with weight-related conditions Want long-term weight reduction with metabolic support Prefer a once-a-week solution Have diabetes or prediabetes Phentermine May Be Ideal If You: Need a short-term weight loss boost Want a low-cost daily option Dont have cardiac or stimulant-related risk factors Are not a candidate for injectables Side Effects & Safety Semaglutide: Common side effects include nausea, constipation, and fatigue