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Decongestants like pseudoephedrine can increase heart rate independently of semaglutide

Zenobi PD, Jaeggi-Groisman SE, Riesen WF, Rder ME, Froesch ER

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I've brought this up before on this forum and got all the same kind of advice you got, and I do everything properly, and I've been doing it once or twice a week for years, so for me it's just become a fact of life that it's going to hurt