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Lower-cost generic versions are available in 8 mg, 15 mg, 30 mg, and 37.5 mg doses

Another issue is compliance

She started at 194 lb and the first month was pretty uneventful

Storage guidelines for unopened Saxenda pens: Store in a refrigerator at 2C to 8C Keep in the original packaging to protect from light Store away from the freezer compartment to prevent accidental freezing Do not use if the pen has been frozen, even if subsequently thawed Check expiry dates regularly and use oldest stock first Keep out of sight and reach of children Storage guidelines for opened Saxenda pens (in use): May be stored in the refrigerator (2C to 8C) or at room temperature (not above 30C) Maximum storage period after first use: 30 days, regardless of storage method Keep the pen cap on when not in use to protect from light Do not store with a needle attached Do not shake the pen Write the date of first use on the pen label to track the 30-day period Discard after 30 days even if medication remains in the cartridge Pens can be moved between refrigerator and room temperature within the 1-month period [1] [2] Additional storage considerations: Avoid storing Saxenda in locations subject to temperature fluctuations, such as car glove compartments, windowsills, or near radiators

Imamura K, Hishikawa N, Sawada M, Nagatsu T, Yoshida M, Hashizume Y