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Under 18 years old Pregnant/breastfeeding Type 1 diabetes mellitus Hypersensitivity to semaglutide or any components of this medication Personal or family history of medullary thyroid carcinoma History of multiple endocrine neoplasia syndrome History of pancreatitis End stage renal disease (on dialysis) BMI less than 25 Type 2 diabetic patients that are on insulin or a sulfonylurea Patients with diabetic retinopathy Patients that are on several antihypertensive medications Who is a candidate