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Doctor-prescribed, needle-free, discreet delivery by PlutoCare

Address the patients lifestyle and needs, to evaluate whether taking oral semaglutide after the overnight fast is the most suitable option or whether an alternative dosing time could be considered

Cautions and precautions include: History of pancreatitis (discontinue if pancreatitis is suspected) Type 1 diabetes or diabetic ketoacidosis (not indicated) Severe gastrointestinal disease including gastroparesis Gallbladder disease (increased risk with GLP-1 therapy) Diabetic retinopathy (monitor for worsening with rapid glycaemic improvement, particularly with semaglutide) Regarding renal impairment , most GLP-1 agonists (semaglutide, liraglutide, dulaglutide) require no dose adjustment

BMJ Open 7 , e015735 (2017)

If a dark black spot on lip appears suspicious, a healthcare provider may perform: Physical examination Dermatoscope evaluation Blood tests Biopsy (if needed) A biopsy is only recommended when a dark black spot on lip shows concerning features