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Cutting or crushing the tablet would: Disrupt the specialized coating and formulation designed for gastric absorption Potentially alter the pharmacokinetic profile, leading to unpredictable drug levels Reduce bioavailability, as oral semaglutide already has low absorption (approximately 1% bioavailability per FDA labeling) Create inconsistent dosing between the two halves Expose the patient to medication that may not be absorbed effectively The American Diabetes Association guidelines emphasize that medications should be taken as prescribed and formulated unless specifically indicated otherwise by the manufacturer

Eating a whole-foods (foods as close to their natural form as possible) based, varied diet is best for your overall health and managing acid reflux

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To keep patients safe and outcomes strong, consider the following clinical best practices: Start low, go slow on dosing Monitor for GI symptoms, especially early on Revisit mental health and vision concerns routinely Avoid use in patients with thyroid cancer history Stay alert for signs of pancreatitis or gallbladder issues Smart oversight matters

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