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Quick Answer: Chest pain is not considered a common side effect of semaglutide, but it can be a symptom of a serious underlying issue

"L-carnitine in hemodialysis: systematic review." J Am Soc Nephrol 2002;13:708-14

The following is the typical dosing schedule for weeks 5-16: Weeks 5-8: 0.5 mg (semaglutide) / 0.5 mcg (vitamin B12) once weekly Weeks 9-12: 1.0 mg (semaglutide) / 0.5 mcg (Vitamin B12) once weekly Weeks 13-16: 1.7 mg (semaglutide) / 0.5 mcg (Vitamin B12) once weekly Weeks 17 onwards: 2.5 mg (semaglutide) / 0.5 mcg (Vitamin B12) once weekly, if further weight loss is required

Persistent or painful constipation should be medically evaluated

Many pharmacies will replace medication that was not promptly refrigerated, especially if you contact them the same day