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Referral to an endocrinologist is recommended for patients who are pregnant or planning pregnancy, pediatric patients, those with nodules or goiter, discordant laboratory results, persistent symptoms despite normal TSH, or suspected myxedema coma (requiring urgent care)

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Wrapping Up The short answer to how much bacteriostatic water to mix with 5 mg of semaglutide is 5 ml , giving a 1 mg/ml working concentration

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Even so, the frequency and significance of these observations are presently unclear