The American Association of Clinical Endocrinologists/American College of Endocrinology consensus statement also recommends either a GLP-1RA or SGLT2i as a preferred treatment option (either as first-line or, more typically, second-line treatment after metformin) over alternative options such as a dipeptidyl peptidase-4 inhibitor, a thiazolidinedione (TZD), or a sulfonylurea (SU), for patients with T2D and ASCVD, stage 3 CKD, or heart failure with reduced ejection fraction [2]
However, expired or degraded Semaglutide can also raise safety concerns, especially if the injection appears cloudy, discolored, or frozen, or if it contains particles
Store your semaglutide injection pen in a consistent, visible location, such as your refrigerator's shelf or medication organizer, rather than hiding it in a drawer
Discuss this option with your healthcare provider to ensure medical appropriateness
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