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Contamination presents as cloudiness or haziness when the vial is held against white background under bright light, faint particulate matter floating in solution, or sour/musty odour distinct from the benzyl alcohol preservative scent
Patients should be seen or contacted within 2-4 weeks of initiation to assess tolerability, review lifestyle adherence, and address concerns
They wont work if the nausea is caused by factors other than excess stomach acid
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That means 95.7% of people who started semaglutide were able to continue despite some degree of GI discomfort