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It may also be related to eating significantly less, dehydration, changes in blood sugar, nausea, or the body adjusting to a new routine

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Most of the reports indicated that patients were unfamiliar with how to measure the intended dose using a syringe." In one case reported to the FDA, a provider intended to dose 0.25 milligrams of semaglutide, but instead gave their patient 25 units five times the correct amount