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You will typically hear two clicksone when the injection starts and a second when it is almost finished

Int J Obes (Lond) 39: 806813, 2015
Bottom line Ozempic is an effective and safe medication, but it may cause GI issues when you first start taking it or when you move up to a higher dose

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Following administration in experimental models, the compound may bind to these receptors and influence signaling pathways related to glucose regulation, appetite control, and lipid metabolism
