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Clinical trials have demonstrated that weight reduction occurs gradually over 12 to 18 months, with most patients reaching maximum effect within this timeframe

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58 Ophthalmic complications After two years of low-dose semaglutide 1 mg once weekly in people with type 2 diabetes, there was a 76% increased risk of worsening retinopathy compared with placebo, although the absolute event rate was low (3.0% with semaglutide vs 1.8% with placebo)

If you cant find the prescription locally, ask about getting started on Ivms accessibility programs (cash pay) Once you have reached the higher doses on Ivm accessibility programs you can switch to the more available higher dose Wegovy[1]