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Studies in rodents have shown that GLP-1 receptor agonists, including semaglutide, cause dose-dependent and treatment-duration-dependent thyroid C-cell tumors

Full elimination takes longer

Quick Answer: Using semaglutide after its expiration date is not recommended as the medication may have reduced potency, compromised sterility, and cannot be guaranteed safe or effective by the FDA or manufacturers

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It is dosed in units, which depends on the concentration of the vial your provider or pharmacy has prepared