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You can start semaglutide on an every other week schedule after consulting with your provider if: You have already achieved the desired weight loss You have stable blood sugar levels and optimal glycated A1C levels You can stick to healthy lifestyle habits You can overcome food noise and increased hunger cravings You are in close contact with your doctor for continuous monitoring and follow-ups If you have type 2 diabetes, shifting to a biweekly dosing schedule may be dangerous as it can cause fluctuations in blood sugar levels and hyperglycemia