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[1] [2] These biologic medications require specific storage conditions to maintain their stability, efficacy, and safety

The most common effect during the initial stages is appetite suppression, which may become noticeable within the first 1-2 weeks
The gut can only handle so much microbial change at once

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In the second case, a 40-year-old woman with a history of depression reported worsening mood symptoms, including fatigue, cognitive slowing, and suicidal thoughts, approximately two months after beginning semaglutide for diabetes management
