Some studies note oral semaglutide triggers slightly higher early GI rates - the absorption enhancer itself can be hard on the stomach in some patients
In one embodiment of the present invention, the condensation reagent used in the coupling reaction in step (2) is any one or a combination of DCC (dicyclohexylcarbodiimide), DIC (N, N' -diisopropylcarbodiimide), HOSu (N-hydroxysuccinimide), HOBt (1-hydroxybenzotriazole) and p-nitrophenol
Subsequent dose escalations may trigger a return of sulphur burps, but many users report that later episodes are typically milder and shorter-lived than the initial experience
10.1016/j.cgh.2016.12.032 21
[DOI] [PubMed] [Google Scholar] Bedry R, Parrot F
Patients who do not respond adequately may increase to 1.25 mg per dose