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Many practitioners start newer patients on the 600mg dose, then move to 1200mg for those wanting a stronger effect or continuing an existing treatment plan

That has had some spillover effect for the diabetes pens (Ozempic)

When itching does occur, it may reflect a direct hypersensitivity to semaglutide itself, an immune response to the medication vehicle (the solution or coating agents), or a reaction to the injection site or oral formulation

Semaglutide for the treatment of overweight and obesity: A review

Don't rationalize it