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I would first obtain a detailed patient history, blood work, echocardiogram, and medication reconciliation to identify more common causes of palpitations/arrhythmias. Additionally, making some lifestyle changes may be helpful in this situation

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Several reports describe health care providers incorrectly calculating the intended dose when converting from milligrams to units or milliliters, which resulted in patients administering five to 10 times more than the intended dose of semaglutide
