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The peptide works through two primary pathways

Gastrointestinal problems: Common side effects such as nausea, vomiting, and diarrhea may occur more frequently in older adults, according to John Batsis, MD, a geriatric obesity specialist at the University of North Carolina School of Medicine and Global Public Health in Chapel Hill

The absorption-enhancing action of SNAC on semaglutide was found to require concentrations in the millimolar range, as reflected by a significant increase in the apparent permeability coefficient of semaglutide across gastric epithelial cell monolayers in the presence of 80 mM SNAC

Zal T, Zal MA, Andreeff M