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It is not recommended

Nucleic Acids Res 40, D1108D1112, doi: 10.1093/nar/gkr1063 (2012)

A healthy lifestyle with a balanced plant-based diet, staying hydrated, and regular exercise helps control Hcy levels and can reduce side effects from medications used for chronic conditions like diabetes, heart disease, and cancer

Discuss potential adverse effects including weight gain, oedema (with risk of heart failure exacerbation), increased fracture risk, and a possible bladder cancer signal

Some protocols recommend even lower starting doses around 0.05 mg (50 mcg) for particularly sensitive individuals, though most users find 0.1 mg an appropriate beginning point

Storage after reconstitution You have reconstituted your 5mg semaglutide vial