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It is not known if Wegovy will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people Do not use Wegovy if you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) Do not use Wegovy if: you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) you have had a serious allergic reaction to semaglutide or any of the ingredients in Wegovy injection or Wegovy tablets

219 WuX.XiaM.SuP.ZhangY.TuL.ZhaoH.et al

CagriSema: Cagrilintide + Semaglutide dosing Simultaneous start (from day 1): Semaglutide titration: Weeks 1-4: 0.25mg weekly Weeks 5-8: 0.5mg weekly Weeks 9-12: 1.0mg weekly Weeks 13-16: 1.7mg weekly Week 17+: 2.4mg weekly Cagrilintide titration (running parallel): Weeks 1-4: 0.6mg weekly Weeks 5-8: 1.2mg weekly Weeks 9-12: 1.8mg weekly Week 13+: 2.4mg weekly CagriSema vs monotherapy comparison: Key points: Both injected same day (different sites) OR different days Cagrilintide reaches target faster (13 weeks vs 17 weeks) Side effects additive but manageable Maximum synergy Sequential start (adding cagrilintide later): Already on semaglutide 2.4mg: Stable on semaglutide for 4+ weeks Continue semaglutide 2.4mg weekly Add cagrilintide starting 0.6mg weekly Titrate cagrilintide: 0.6mg (weeks 1-4) 1.2mg (weeks 5-8) 1.8mg (weeks 9-12) 2.4mg (week 13+) Maintain both at 2.4mg Advantages of sequential: Semaglutide establishes baseline weight loss first Easier to attribute new side effects (know it's cagrilintide) Less overwhelming than both at once Can see incremental benefit of adding cagrilintide Expected combination results: 15-20% average weight loss (most users) 20-25% weight loss (excellent responders) Superior to either alone consistently Optimize your CagriSema protocol at SeekPeptides - we help you coordinate both titration schedules and manage combined side effects

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