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Insulin therapy is recommended for patients with advanced diabetes with -cell failure, or if satisfactory glycaemic control cannot be achieved with non-insulin agents

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The list price is $987 per month without insurance

Further appointments are made on a monthly basis

However, significantly degraded or contaminated semaglutide could potentially cause local injection reactions or systemic effects

Adding multi-day fasting to pharmacological appetite suppression creates risk of hypoglycemia, severe electrolyte imbalance, excessive muscle breakdown, nutrient deficiency, and in people with type 2 diabetes, dangerous metabolic instability