GI side effects may emerge but tend to be manageable because of the gradual titration
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REDEFINE 1: CagriSema in overweight or obesity, NEJM full text REDEFINE 1: PubMed 40544433 REDEFINE 2: CagriSema in type 2 diabetes and obesity, NEJM full text REDEFINE 2: PubMed 40544432 Phase 1b: cagrilintide co-administered with semaglutide 2.4 mg, The Lancet (2021) Phase 2: once-weekly cagrilintide dose-finding, The Lancet (2021) REDEFINE 1 trial record: NCT05567796 Phase 2 trial record: NCT03856047 Phase 1b trial record: NCT03600480 Novo Nordisk files for FDA approval of CagriSema: press release (Dec 2025) CagriSema regulatory history: Drugs.com The 0.25 2.4 mg four-week ladder is stated explicitly in both NEJM papers, for the fixed-dose combination pen
Indeed, only 2 months later (September 2023), Intuitive was already fielding worst case scenarios conference questions: People are sitting there worried, well, bariatric is going to slow, I don't know how much because of GLP-1s
If you experience severe, persistent nausea or vomiting that prevents adequate fluid or food intake, contact your provider