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is semaglutide good for prediabetes Can Help Prediabetes? - Nusbaum Medical Centers | Medical Weight Loss | Surgical Weight Loss | Liposuction Semaglutide Hype or Hope: Evidence-based
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It can also cause unpredictable blood sugar swings, especially low blood sugars, when combined with reduced food intake

That is a trip to the emergency room
Lower glucose without causing hypoglycemia (serious low blood sugars)
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If you cannot remember when you reconstituted it, that alone is a sign your protocol needs tightening

[DOI] [PubMed] [Google Scholar] 390.Yadav H, et al

This is only my personal experience and is not medical advice