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The efficacy and safety of oral semaglutide was assessed in the PIONEER clinical trial program, which included 9543 patients (1293 Japanese)

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A patient experiencing significant tachycardia while on tirzepatide should discontinue the medication immediately if they have postural orthostatic tachycard...

This is largely driven by rapid gastric emptying and an exaggerated GLP-1 mediated insulin response, particularly after Roux-en-Y gastric bypass (RYGB)

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