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Patients must fill out a form each time they want another shipment

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Dangerous Salt Forms and Counterfeits To dodge patent and supply rules, some illegitimate sellers use chemical salt forms like semaglutide sodium or semaglutide acetate. The FDA has warned that these are chemically different from approved semaglutide and have never been evaluated for human safety, quality, or effectiveness

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Very common (more than 1 in 10 people): mild injection-site pain or redness that eases within a day