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Specific warning signs that semaglutide may have expired or become compromised include: Particulate matter : Visible floating particles or sediment Cloudiness or turbidity : The solution appears hazy or opaque rather than clear Color changes : Any discoloration (solution should be clear and colorless) Pen malfunction : Difficulty advancing the dose selector or resistance during injection (though this may indicate a device issue rather than medication expiration) Beyond visual inspection, patients should verify that the medication has not exceeded its expiration date or, for Ozempic, the 56-day in-use period

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Also, there are a few factors that can affect the cost of the treatment