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The medication may still be fine, or it may have degraded past the point of effectiveness

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Things like can cause spotting: Stress Changes in hormone levels Inflammation Infections An underactive thyroid Fertility What about ovulation

Yes, Wegovy needs to be refrigerated at a temperature range between 36F 46F (2C 8C) and lasts the longest when stored in the refrigerator until the first time you use it

Drugs like Ozempic suppress appetite, due to which its users eat less food, which in turn leads to a lower stimulation of salivary glands