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Description
Crucially, its entire mechanism runs through that one GLP-1 receptor the FDA prescribing information notes semaglutide has not been studied alongside other GLP-1 receptor agonists and does not recommend such combinations

doi: 10.1111/j.1365-2249.2009.04007.x [DOI] [PMC free article] [PubMed] [Google Scholar] 520

There's no single "best" optionit depends on your goals
Only 11.2% of participants discontinued due to side effects, meaning nearly 9 out of 10 people found it tolerable enough to continue