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It should only be prescribed for people in Wales and the UK for people living with type 2 diabetes." The Welsh government said: "Due to the extent and anticipated duration of the global supply disruption, in line with practice in all parts of the UK, people currently prescribed semaglutide will have their medication reviewed and, where necessary, an alternative treatment will be prescribed."

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Contraindications include active malignancy (sermorelin can stimulate growth hormone in hormone-sensitive cancers), pregnancy, and uncontrolled hypertension

And concern about continued access rises steadily with cost: Among people paying $500 to $1,000 per month, more than 1 in 3 say they are very concerned about losing access, compared with 15% of those whose medication is fully covered

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