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If you can buy it without a prescription, its not an actual GLP-1 drug, Jamie Alan, an associate professor of pharmacology and toxicology at Michigan State University, told NBC News

[1] No specific antibiotics are contraindicated for concurrent use with semaglutide in the FDA prescribing information

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World J Gastroenterol 17:27232733

This is especially relevant because as your body weight changes, the effective concentration of some medications can shift, and a dose review may be appropriate over time