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A detailed history should explore the timeline of ED onset relative to semaglutide initiation, severity and progression of symptoms, presence of morning erections, relationship factors, and psychological stressors

If reflux or burps precede the breath change, try an upright posture after meals and avoid lying down for at least two hours post-meal, and note whether changing the injection timing shifts those episodes

Vision changes are listed as a potential Ozempic side effect, though the label notes the blurred vision is possibly caused by hypoglycemia (low blood sugar)

At this concentration, a 300mcg dose equals 12 units (0.12ml) on an insulin syringe