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Macrolide antibiotics (azithromycin, erythromycin) and fluoroquinolones (ciprofloxacin, levofloxacin) carry a higher nausea potential independent of semaglutide

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Many patients use semaglutide for 12 to 18 months to achieve their target weight, after which the clinical team works with them on a structured maintenance plan that may include continued lower-dose medication, ongoing nutritional support, and behavioral strategies to prevent weight regain