semaglutide or tirzepatide side effects caused roughly half as many patients to stop treatment because of gastrointestinal as semaglutide. In the first major head-to-head obesity trial, GI side effects caused treatment discontinuation in: Tirzepatide Weight Loss Blog – Maryland

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Uses of Semaglutide 3 mg tablet Benefits of Semaglutide 3 mg tablet Treatment of Type 2 diabetes mellitus The Semaglutide 3mg tablet lowers your blood glucose levels

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Diabetes Care 39 , 23042310 (2016)

Notice these come last on the list - that's intentional

Its not a situation where you max out medications and then consider surgery its tailored to the patient.