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Recommended monitoring includes: Complete blood count, comprehensive metabolic panel Vitamin B12, folate, iron studies, vitamin D, calcium, parathyroid hormone Thiamine in patients with persistent vomiting Protein intake assessment and albumin/prealbumin levels Contraindications include personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2, as GLP-1 receptor agonists carry a boxed warning based on rodent studies showing thyroid C-cell tumors
Freezing destroys the protein structure of semaglutide and renders it ineffective
inspect for discolouration or particles (note that B12 solution is normally red) Prepare the injection site common sites include the thigh (vastus lateralis) for both IM and SC injections, or the ventrogluteal area for IM administration if trained to use this site Administration technique: Clean the injection site with an alcohol wipe and allow to dry completely
Patients with compromised liver function or those who are pregnant should exercise additional caution, as the risk of adverse effects may be heightened
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