When in doubt, use 6 mm at 90 degrees with a skin pinch for abdomen and thigh, and 4-5 mm at 45-90 degrees for upper arm
In TRIUMPH-4 (obesity + knee OA): nausea 43%, diarrhea 33%, vomiting 21%, constipation 25%, dysesthesia 20.9%
Results Thirty nine studies were included in the review comprising an in vitro study, thirty two metabolite and/or co-factor studies, six intervention studies and six studies with genetic data as well as eight studies examining enzyme activity
therefore, older persons are more prone to having low levels
In these cases, coordinating with your healthcare team about whether to maintain, reduce, or pause your semaglutide injection ensures both conditions receive proper treatment