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The differences lie in preparation methods, quality control processes, delivery systems (you might get vials and syringes instead of pre-filled pens), and price

The article says patients report inconsistent results when using expired or improperly stored medication, and that this confounds assessment of treatment response

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Important safety information : Semaglutide has a boxed warning for risk of thyroid C-cell tumors and is contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)

doi: 10.1073/pnas.90.16.7759