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Semaglutide Medical Intake
Have you ever had an adverse or allergic reaction to Semaglutide, or to any of its ingredients?
Have you ever had an adverse or allergic reaction to another GLP-1 receptor agonist?

such as, but without limitation to, Dulaglutide (Trulicity), Exenatide extended release (Bydureon bcise), Exenatide (Byetta), Liraglutide (Victoza, Saxenda), and Lixisenatide (Adylyxin)

Do you have a personal medical history involving any of the following medical conditions?
Are you currently pregnant, trying to get pregnant, or breastfeeding?
Are you currently experiencing, or have you experienced, depression with a history of suicidal attempts, suicidal thoughts, or suicidal ideation?
Do you currently consume alcohol?
Do you have any family history of Multiple Endocrine Neoplasia, Type 2, (MEN 2) or Medullary Thyroid Carcinoma (MTC)?
Are you currently receiving Chemotherapy?
Are you taking any of the following medications?