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Serious adverse effects such as severe abdominal pain (which may indicate pancreatitis), persistent vomiting leading to dehydration, or signs of thyroid tumors (neck mass, difficulty swallowing, persistent hoarseness) require immediate medical attention

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Quick Answer: If semaglutide arrives warm, do not use itrefrigerate the medication, document the package condition with photos, and contact your pharmacy within 24 hours for a replacement

Shaking vials, wrong storage, bad dosing