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Absolute contraindications: Personal or family history of medullary thyroid carcinoma (MTC), Multiple Endocrine Neoplasia syndrome type 2 (MEN2), known hypersensitivity to semaglutide or any excipient Relative contraindications: History of pancreatitis, severe gastrointestinal disease (gastroparesis, inflammatory bowel disease), current pregnancy or planned pregnancy within 2 months, history of suicidal ideation or major depressive disorder (monitor closely) Use with caution: Patients on insulin or sulfonylureas (hypoglycemia risk), patients with diabetic retinopathy (risk of transient worsening), patients with renal impairment (adjust monitoring) Pre-Treatment Workup Thorough semaglutide training for physicians includes a standardized pre-treatment assessment protocol

Ingredients: #21 Ivory Propolis Extract, Titanium Dioxide (CI 77891), Diphenylsiloxy Phenyl Trimethicone, Cyclopentasiloxane, Phenyl Trimethicone, Glycerin, Lauryl PEG-10 Tris (Trimethylsiloxy) Silylethyl Dimethicone, Methyl Hydrogenated Rosinate, Propylene Glycol Dibenzoate, Tridecyl Trimellitate, Dimethicone, 1,2-Hexanediol, Butylene Glycol, Butylene Glycol Dicaprylate/Dicaprate, Niacinamide, Methylpropanediol, PEG-10 Dimethicone, Yellow Iron Oxide (CI 77492), Trisiloxane, Magnesium Sulfate, Disteardimonium Hectorite, Synthetic Fluorphlogopite, Acrylate/Stearyl Acrylate/Dimethicone Methacrylate Copolymer, Glyceryl Caprylate, Stearic Acid, Aluminium Oxide, Purified Water, Triethoxycaprylylsilane, Red Iron Oxide (CI 77491), Aluminum Hydroxide, Ethylhexylglycerin, Centella Asiatica Extract, Matricaria Flower Extract, Chlorella Vulgaris Extract, Glucose, Black Iron Oxide (CI 77499), Fructooligosaccharides, Fructose, Adenosine, Trisodium Ethylenediamine Disuccinate, Limonene, Lavender Oil, Linalool, Rose Oil, Citrus Grandis (Grapefruit) Peel Oil 6.10.24 Christine said: Safe for pregnancy and nursing 6.20.24 Rach said: Hi doctor, Thank you for sharing this