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Degraded medication can cause unexpected muscle pain , headaches , fatigue , or increased gastrointestinal issues that might be attributed to the medication itself rather than to degradation

The most commonly reported adverse effects were mild to moderate headache and gastrointestinal symptoms including diarrhea, flatulence, nausea, and increased appetite

Another study of the same group, Reger et al

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20 units of Semaglutide is generally 0.2 mg