gaining muscle on semaglutide probably doesn't lead to disproportional mass loss. In fact, it seems to perhaps spare a bit more muscle than otherwise. PMID: 8089287 Semaglutide (GLP-1) Muscle Loss: Body

Most users find themselves less hungry and more satiated

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p53/SLC7A11 pathway This process is initiated when unsaturated FAs in cell membranes undergo catalytic lipid peroxidation, driven by divalent iron or esteroxygenases, leading to cell death (6971)

In particular, older people may experience blurry vision when they first start taking the medication, although this initial blurriness often goes away

It's almost certain someone in your circle has an undiagnosed pernicious anemia