1. High doses can lead to pancreatitis – nausea, vomiting, severe abdominal pain should be evaluated by a physician immediately and medications should be stopped
2. Hypoglycemia potential can occur – please avoid other diabetic medications and heavy use of alcohol
3. Semaglutide can also cause muscle loss while helping with fat loss. It is imperative when you start dropping food intake that the protein intake remains high. Continue with your workout regimen of weights and cardio as well. Dropping muscle mass will lead to decrease in basal metabolism and that can stunt overall health. 

Potentially the site of injecting can become inflamed for the day – a very common side effect. Welts are common. Please be cognizant of moving site injections around not to developing scarring at one location. 

Before injection, make sure you thoroughly clean the area of the skin that will be injected along with the top of the vial where you are drawing medicine from. 

1. IM: (Intra-Muscular) means you are injecting into the muscle. Pick an area that is highly muscular such as thigh, buttocks, or deltoids (shoulders) to inject. These needles are generally longer to reach into the muscle
2. SQ: (subcutaneous) means you are injecting just under the skin, into fat. Find a fatty area or loose skin likely around the stomach region to inject. These needles tend to be smaller. 

1. IM: (Intra-Muscular) means you are injecting into the muscle. Pick an area that is highly muscular such as thigh, buttocks, or deltoids (shoulders) to inject. These needles are generally longer to reach into the muscle
2. SQ: (subcutaneous) means you are injecting just under the skin, into fat. Find a fatty area or loose skin likely around the stomach region to inject. These needles tend to be smaller. 

1. Several of our products come as a powder form with another bottle with sterile water. Please read the directions provided in the prescription for exact details. However, generally several MLs of sterile water will be drawn out of the sterile water vial and injected into the powder vial. The powder will dissolve quickly. Gently stir the vial few times to ensure full resolution of powder and wait at least 10 mins prior to injection.
2. Most products will be needed to be refrigerated. 

1. Here’s an instructional video on how to properly do a SQ (subcutaneous) injection. >> https://youtu.be/wXjQHAxopzk
2. Here’s an instructional video on how to properly do an IM (intra-muscular) injection. >> https://youtu.be/fMEZdNodGM0