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As with any medication, semaglutide carries a risk of side effects

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Pen-sharing poses a risk for transmission of blood-borne pathogens Hypoglycemia: Patients receiving Ozempic in combination with an insulin secretagogue (e.g., sulfonylurea) or insulin may have an increased risk of hypoglycemia, including severe hypoglycemia

Use a validated insulated shipper and pre-conditioned refrigerants to maintain that range