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Most people find 2 mg/mL (from a 10 mg vial + 5 mL water) overly dilute and prefer 510 mg/mL for smaller injection volumes

Patients using compounded semaglutide at the same doses should achieve comparable results when adherence, diet, and lifestyle are consistent

This is normal and independent of your medication

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More concerning is the possibility of microbial contamination , which can occur if the pen is damaged, improperly stored, or exposed to non-sterile conditions