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If you have not had low B12 confirmed, that check with your GP comes first
If storage and dosing are confirmed correct, you may need to escalate to the next dose level
Drop back to the last tolerated dose and stay there for 6-8 weeks before attempting escalation again
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McGuire, D.K., et al., Effects of oral semaglutide on cardiovascular outcomes in individuals with type 2 diabetes and established atherosclerotic cardiovascular disease and/or chronic kidney disease: Design and baseline characteristics of SOUL, a randomized trial
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