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These additions should not alter the semaglutide dose or require titration adjustments

The patient meets Aetnas step therapy requirements, meaning they have filled prescriptions for at least 60 days of metformin within the past 180 days

Borodovsky, J

When food remains in the stomach and upper digestive tract for extended periods, bacterial fermentation increases, potentially producing greater quantities of hydrogen sulphide gas

Small bubbles are ok, and even relatively large ones dont pose a threat for subcutaneous injections as the air is typically absorbed by the the subcutaneous tissue without complications

A reusable container with a lid protects the medicine from food drips, and placing it front and center reminds you to take your weekly dose