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Patient-specific factors also play a roleindividuals with pre-existing GERD, those taking higher doses, and patients with delayed baseline gastric emptying may experience more pronounced symptoms

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Combination Therapy Research: Synergistic Effects of Semaglutide and a Ketogenic Diet on Weight Loss and Glycemic Control in Type 2 Diabetes Patients: A Pilot Study. This pilot study examines the combined impact of semaglutide and a ketogenic diet in patients with type 2 diabetes, reporting significant improvements in weight loss and blood sugar levels

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95% CI 205.56, 114.44) but SGLT2is/metformin (WMD: 76