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Ozempic, Wegovy) come with an expiration date , compounded semaglutide typically comes with a beyond-use date (BUD)

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Patients should be alert for signs of pancreatitis (severe, persistent abdominal pain radiating to the back), gallbladder disease (persistent pain in the right upper abdomen, fever, or jaundice), and dehydration that could lead to acute kidney injury

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This can happen when medication is exposed to excessive heat , left in direct sunlight, or stored beyond its expiration date