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These aren't just arbitrary rules

Chronic fatigue and weakness that persists despite adequate sleep

Ketone production may increase moderately even if you are not following a ketogenic diet

It adds a clinically meaningful layer of systemic support delivered through the same injection, eliminating the need for a separate B12 administration

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After expiry, semaglutide may undergo chemical degradation through hydrolysis, oxidation, or deamidation, reducing the concentration of active ingredient and potentially rendering the medication less effective or inactive