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At this time, research does not show that oral contraceptives interfere with the way semaglutide works

(4) Peter J Apel, Jian Jun, Michael Callahan, Casey N Northam, et al (2010) Effect of Locally Delivered IGF-1 on Nerve Regeneration During Aging: An Experimental Study in Rats Muscle Nerve, 2010 Mar, Volume 41 (Issue 3), Pages 335341

The large intestine and upper gastrointestinal tract are rarely affected