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Everyones different, so pay attention to your own symptoms.

Documenting your digestive symptoms before starting gives your provider a reference point for anything new that appears

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This typically includes regular assessment of vital signs (heart rate, blood pressure), weight and body composition, laboratory parameters (electrolytes, kidney function, lipid panel, hemoglobin A1c if diabetic), mental health status, and gastrointestinal symptoms

Whether semaglutide expires after 28 days , whether tirzepatide expires , and how long semaglutide stays good are practical questions that affect the reliability of each dose