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Herbal preparations that affect blood glucose levels, such as ginseng, fenugreek, or bitter melon, may have additive glucose-lowering effects when combined with semaglutide, potentially increasing the risk of hypoglycemia particularly in patients receiving other antidiabetic medications

[10] Tertomotide Doti N, Mardirossian M, Sandomenico A, Ruvo M, Caporale A (August 2021)