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It must be stored in a refrigerator between 2-8C

Semaglutide is not primarily eliminated by the kidneys

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Hormonal Effects: Acne, Mood Changes, and Breast Tenderness The hormonal element in Mirena, known as levonorgestrel, might lead to effects for some individuals using it, experiencing outbreaks of acne or mild shifts in mood and moments of irritability being reported by users as well as occasional breast tenderness which typically subsides over time with consistent use

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