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There is no clinical requirement to eliminate carbohydrates on GLP-1 treatment

Opened pens can tolerate room temperature short-term, but unrefrigerated, unopened pens degrade faster

[3] Contact your healthcare provider if you are uncertain about what to do, if you have missed multiple consecutive doses, or if you experience severe or persistent side effects

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GLP-1 medicines acting through weight loss-dependent and weight loss-independent mechanisms hold potential for suppression of tumorigenesis and reduction of rates of obesity-associated cancer