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All the companies are trying to have an edge over the other companies, Guirguis says

6.) Be cautious with compounded or unapproved GLP-1 products The FDA has raised specific concerns about unapproved GLP-1 drugs, including the use of unapproved salt forms (semaglutide sodium/acetate), and reports of dosing errors and adverse effects, including hospitalization, linked to compounded semaglutide

Begin increasing sodium and electrolyte intake to pre-adaptation levels

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And the specific scenarios, from travel to surgery to holidays, where early dosing makes sense and where it does not