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Notes -
For me semaglutide basically had two effects--it decreased my appetite and slowed my digestion down. Unfortunately the latter effect was much stronger than the former. When I wasn't doing keto I'd frequently still eat too much and end up mostly-incapacitated for a day by my body's instinct to vomit. Keto brought appetite and physical capacity mostly in line, though the last day before the next dose was sometimes still tough.
I haven't heard of anyone else with this experience so hopefully you fare better.
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