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Despite Novo Nordisks attempts to increase production, shortages have continued into 2025

Avoid drinking alcohol, which can worsen low blood pressure
Linus Pauling Institute Oregon State University Reviewed in March 2023 by: Donald Mock, M.D., Ph.D

Ispaghula is generally well tolerated, though it must always be taken with adequate fluid (at least 200ml per dose) to prevent oesophageal or intestinal obstruction

It also removes the risk of accidentally pushing a vial against the back wall where it might freeze
