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There are instances where excessive tiredness may indicate a reaction or interaction with other medications you are taking

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Temporary Fatigue: Why It Happens and How Long It Lasts Early fatigue on semaglutide stems from three overlapping mechanisms: rapid appetite suppression leading to lower calorie intake, shifts in nutrient absorption as your eating patterns change, and your body's metabolic recalibration from a higher to a lower energy expenditure state

The authors did not require any specific follow-up period to ascertain breast cancer diagnosis nor linkage to a tumor registry