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Yes, semaglutide is a prescription medication and cannot be legally or safely obtained without a consultation with a licensed healthcare provider

Changes in bowel habit that represent a significant departure from an individual's normal pattern, particularly in those over 60 years or with family history of colorectal cancer, should be evaluated in accordance with NICE guideline NG12 on suspected cancer recognition and referral

Mouhammad ZA, Vohra R, Horwitz A, Thein AS, Rovelt J, Cvenkel B, Williams PA, Azuara-Blanco A, Kolko M (2022) Glucagon-Like Peptide 1 Receptor Agonists -Potential Game Changers in the Treatment of Glaucoma

That is the part of my conversation with Dr

The slow increase lets you and your provider assess response at each level and decide whether continuing to escalate makes sense