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The improvement in clinical parameters including DAS28, TJC, VAS, morning stiffness, and MHAQ in the L-carnitine group further supports its potential as an adjunct therapy

Use one pen, once weekly, unless your prescriber tells you otherwise

Special Considerations: Gastrointestinal and Bariatric Surgery If your upcoming surgery involves your digestive systemincluding bariatric procedures, appendectomy, or hernia repairyour surgical team must know you're taking semaglutide

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This can be broken apart with a spoon before taking or dissolved in water

Some people also notice temporary nausea or low energy early on, which typically improves with time and proper dose adjustments