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The safety and efficacy of oral semaglutide has not been compared to injectable semaglutide in a head-to-head clinical trial, a Novo Nordisk spokesperson told Scientific American

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Theres no guarantee of dose accuracy, sterility or that the vial contains what the label says. Without rigorous independent verification, patients injecting these gym-sourced or internet-sourced chemicals face a laundry list of clinical risks

Inflammation can be a contributing factor to infertility