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The medication contains preservatives designed to keep the liquid sterile, but these preservatives do not last forever

10.1136/jim-2017-000554 194

When to Seek Medical Advice About Heart Rate Changes Whilst most patients tolerate Ozempic well without significant cardiovascular concerns, certain symptoms warrant prompt medical evaluation

Acknowledgments The authors gratefully acknowledge the critical reviews and insights of Sarah Armstrong MD, Nancie MacIver MD PhD, and Lisa Rasbach PhD CPNP