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For these people, a mild fruity or sweet smell in the urine may continue for a longer time

Choose Low-Sugar or Unsweetened Options: Avoid brands with added sugar to prevent blood sugar spikes

Bell said

For brand-name pens with room-temperature windows (Ozempic, Mounjaro), a single overnight at room temperature below 86 degrees Fahrenheit is generally safe and counts against the product room-temperature allowance

This psychological reset, combined with metabolic adaptation, creates sustainable habits that persist even after dose adjustments or pauses in treatment

Regular monitoring includes blood pressure, heart rate, cardiovascular symptom assessment, and prompt reporting of chest pain or breathlessness