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After first use, pens may be kept at room temperature (59F to 86F / 15C to 30C) or refrigerated, and must be used within 28 days.
Numbness or tingling in hands or feet (B12 deficiency) Severe muscle cramps or spasms, especially at night (magnesium or calcium) Unusual fatigue that does not improve with rest (B12, iron, or vitamin D) Significant hair loss beyond normal shedding ( zinc, iron, or biotin deficiency ) Bone pain or stress fractures (vitamin D and calcium) Heart palpitations or irregular heartbeat (magnesium or potassium) Confusion or memory problems (B1, B12) Special considerations by GLP-1 medication type While all GLP-1 receptor agonists share core mechanisms, different medications create different nutritional profiles
Galindo, MD
Differences in populations must also be considered, with SUSTAIN 6 and REWIND enrolling patients with a higher cardiovascular risk than those recruited for SUSTAIN 7 and AWARD-11, and outcomes may therefore not be generalisable across studies
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