Morning dosing may also be preferred by individuals who want to monitor for potential side effects during waking hours when they can more easily manage symptoms or seek medical attention if needed
If you are drawing 60 units from a 40 mg/mL vial, something is almost certainly wrong unless you have a very specific and carefully monitored protocol from your prescriber
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Hypoglycaemia may occur, particularly in patients taking other glucose-lowering medications
Importantly, semaglutide carries a boxed warning for risk of thyroid C-cell tumors and is contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN2)