One potential explanation includes the amount of structural similarity to human GLP-1 ( Safety and Tolerability of GLP-1RAs and DPP-4 Inhibitors The DPP-4 inhibitors have been well-tolerated in both short- and long-term studies
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Nikiteas NI, Tzanakis N, Gazouli M, Rallis G, Daniilidis K, Theodoropoulos G et al
According to the FDA-approved prescribing information, headache is listed as a recognized adverse reaction for semaglutide products including Ozempic (for type 2 diabetes), Wegovy (for weight management), and Rybelsus (oral semaglutide)
Some users also explore alternating between semaglutide and tirzepatide as a strategy to manage side effects while maintaining efficacy