* Contraindications are for higher amounts when used as an IV treatment and not specifically for small amounts used as an ingredient in vitamin B12 solution
See the FDAs Safe Disposal of Medicines website for more information
A., Nicolas, S., & Shivkumar, A
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At our clinic, we use the following clinical decision-making protocol: Full medical evaluation and lab work (A1c, thyroid panel, lipids, liver function) Review of previous weight loss attempts Screening for contraindications (e.g., history of medullary thyroid cancer, pancreatitis) Discussion of lifestyle readiness and expectations Ideal candidates include: Adults with BMI 30, or 27 with weight-related conditions Individuals who have failed to lose weight with diet/exercise alone Patients open to long-term lifestyle changes alongside medication Benefits and Risks of Semaglutide Weight Loss Benefits: Proven long-term weight loss Reduced cravings and portion sizes Improved glucose and insulin metrics Lower risk of cardiovascular disease Enhanced mobility and energy Potential Risks or Side Effects: Nausea or gastrointestinal upset (especially early in treatment) Possible gallbladder or pancreatic inflammation (rare) Cost and insurance limitations Potential for regain after discontinuation We closely monitor side effects and titrate dosing gradually to improve tolerability, says Dr
