Other effects of muscle fatigue which may not be easily recognised include damage to skeletal muscles, circulatory (heart) and respiratory (lung) systems
Expect checks for thyroid function, kidney and liver panels, fasting glucose or HbA1c if you have metabolic risk, and a review of any personal or family history of thyroid cancer or MEN2 because semaglutide has specific safety considerations in that area
Exogenous NAD blocks cardiac hypertrophic response via activation of the SIRT3-LKB1-AMP-activated kinase pathway
High levels of oxidative stress may contribute to ALS onset, increasing motoneurons death, and heavy metals may be a cause for the increase of ROS
"Semaglutide vs Tirzepatide for Weight Loss in Adults with Overweight or Obesity," JAMA Internal Medicine
Available from: Reiss AB, Gulkarov S, Lau R, Klek SP, Srivastava A, Renna HA, De Leon J