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Disposal of unused or expired medication should follow appropriate pharmaceutical waste disposal guidelines

Primary endpoint in expanded populations and high-risk subgroups Semaglutide versus sitagliptin Among patients with obesity and type 2 diabetes at low, moderate or high cardiovascular risk in clinical practice, the 1-year risk of the composite endpoint of myocardial infarction or stroke was 1.5% (95% CI 1.4% to 1.6%) with semaglutide compared to 1.7% (95% CI 1.6% to 1.9%) with sitagliptin

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That is why each phase lasts at least 4 weeks, allowing the body time to adjust before a new dose's effect can be judged