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In our practice, patients often arrive surprised to learn how much individual tailoring goes into a safe start: the right starting dose, a realistic titration schedule, anti-nausea strategies, and a plan for what to do if symptoms flare

This also applies to people with type 2 diabetes, cardiovascular disease and blood pressure issues

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Watch for breakthrough bleeding or missed periods, which may signal reduced contraceptive coverage

Unlike FDA-approved semaglutide products, compounded versions lack the rigorous testing and oversight that ensure safety and efficacy