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However, at higher doses, niacinamide can cause: Mild GI upset (which could theoretically compound semaglutide GI effects) Easy bruising or increased bleeding from wounds Liver enzyme elevations at very high doses (typically above 3 grams daily, far exceeding injectable doses) The 2 mg per injection dose is so low relative to studied therapeutic ranges that these side effects are essentially irrelevant for the compounded formulation

Standard analgesics and adequate hydration usually resolve these within days

Protective measures : Apply lip balm with SPF protection, avoid touching or picking lesions, and maintain good hand hygiene to prevent viral spread or secondary bacterial infection

Keep medications away from direct contact with the freezer compartment to prevent accidental freezing