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Temperature Control and Protection from Light Temperature fluctuations damage semaglutide's integrity far more than steady, consistent cold does

Weeks 5 to 8 The first photographable changes show up
Safety considerations Pregnancy and breastfeeding: Not recommended

Semaglutide with B12 has the same contraindications and potential side effects as semaglutide, including the risk of thyroid C-cell cancer (such as multiple endocrine neoplasia syndrome type 2), pancreatitis, hypoglycemia, and serious allergic reactions
