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Once opened, keep it in the fridge or a safe place away from direct sunlight, below 30C

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The most common side effects are vivid dreams or mild sleep disturbances, which often improve with dose adjustment

Combined with Ozempics gastric-emptying delay, the result is severe nausea, reflux, and sometimes vomiting within 12 hours

Some states, such as California (Medi-Cal) , now cover Zepbound without prior authorization for weight loss or OSA, while others may exclude it altogether

doi: 10.7314/APJCP.2015.16.2.595