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Before starting your semaglutide dosage journey at Spa Black, well review all your medications to spot any potential interactions and make a plan to manage them

You may notice improvements in blood glucose within the first few weeks, but full effect is usually seen after 3 to 6 months once the maintenance dose is reached

The vildagliptin experience 25 years since the initiation of the Novartis glucagon-like peptide-1 based therapy programme and 10 years since the first vildagliptin registration

Side effects may temporarily increase around a dose change, then settle as the body adapts

The safety profile remains consistent with shorter term studies