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Because of the potential for serious adverse reactions, including changes in sleep, irritability, hypertension, vomiting, tremor, and weight loss in breastfed infants with maternal use of phentermine, advise patients that breastfeeding is not recommended during QSYMIA therapy

Blood 124 , 387387 (2014)

Frias, J.P., Deenadayalan, S., Erichsen, L., Knop, F.K., Lingvay, I., Macura, S., Mathieu, C., Pedersen, S.D., & Davies, M.J

Step 1: Verify your pharmacy Confirm state pharmacy license is active and in good standing Check for PCAB accreditation or USP compliance Request certificate of analysis for the semaglutide raw material Confirm they use semaglutide base (not sodium or acetate) Ask about third-party potency testing on finished product Step 2: Audit your storage Check refrigerator temperature with a thermometer (should read 36 to 46 degrees F) Move vial away from freezer compartment and door Verify vial is within the beyond-use date Confirm vial was never frozen Check if vial was ever left out for extended periods Verify the solution is clear, colorless, and free of particles, and review what discolored semaglutide means Step 3: Verify your dose Confirm the concentration on your vial label Calculate exact units for your prescribed dose using our semaglutide dosage calculator Use the smallest syringe that accommodates your dose volume Eliminate air bubbles before every injection Verify you are injecting the full amount subcutaneously Confirm your prescribed dose has been titrated appropriately Step 4: Evaluate your timeline Have you been on a stable dose for at least four to five weeks

ND means no detectable activity