why is semaglutide not fda approved Approval vs Compounded Alternatives FDA Warns on Certain Forms
Description
Given its name and positioning, its fair to take a closer look at whether its actually safe to use

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Gurkan et al

The evidence from the patient's medical history, the normalization of liver enzymes upon drug discontinuation, and the reexposure to the drug strongly suggest a causal relationship between semaglutide and liver injury
Off-label use is legal and common, but it must be done carefully
If you miss a dose, simply skip it and take your next dose as usual the following day