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A reputable pharmacy should be able to provide a certificate of analysis (COA) for any batch of semaglutide they produce

Seek urgent medical care for severe or rapidly worsening symptoms.

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Thyroid enlargement may be accompanied by changes in voice, difficulty swallowing solid foods, or, less commonly, breathing difficulty if compressing the airway

The dual metabolic benefit, meaningful weight loss alongside glycemic control, is clinically relevant for the large subset of patients who present with both conditions