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The implication is important: there's an asymmetry to the trade-off
doi: 10.1016/S0024-3205(00)00758-X 186 LiuI-MTzengT-FLiouS-SLanT-W

It is highly effective at drawing water into the bowel
Clinical trials have demonstrated a reduced risk of major adverse cardiovascular events, such as heart attack and stroke, in individuals treated with semaglutide

[DOI] [PubMed] [Google Scholar] 46.Rosenstock J, Frias J, Jastreboff AM, Du Y, Lou J, Gurbuz S, et al
For example, exenatide reduces the peak concentration of ethinyl estradiol by 15% to 45%, depending on timing, while liraglutide decreases it by 12%
