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It happens if the pen needle punctures a tiny blood vessel or the drug leaks out of the injection

Nausea has kicked in, you're vomiting in the middle of the work day, your moles are getting suspiciously darker, and theres some new hyperpigmentation that popped up on the right side of your face

Friedrichsen M, Breitschaft A, Tadayon S, Wizert A, Skovgaard D: The effect of semaglutide 2.4 mg once weekly on energy intake, appetite, control of eating, and gastric emptying in adults with obesity