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Both contain the same active ingredient but are approved for different medical conditions

N Engl J Med 338:265266 Mannucci E, Ognibene A, Cremasco F et al (2001) Effect of metformin on glucagon-like peptide 1 (GLP-1) and leptin levels in obese non-diabetic subjects

Many pharmacies use this as their standard formulation

Effect of subcutaneous semaglutide vs placebo as an adjunct to intensive behavioral therapy on body weight in adults with overweight or obesity: The STEP 3 Randomized Clinical Trial

The procedure had to be stopped because solid food remained in her stomach and she was at high risk for aspiration, the report said