The most common adverse reactions leading to discontinuation were nausea (1.8% versus 0.2%), vomiting (1.2% versus 0%), and diarrhea (0.7% versus 0.1%) for WEGOVY and placebo, respectively
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Its not so much about sterility, but about photolysis destruction by light
Safety outcomes: examined odds of hypoglycemic events using administrative codes validated in prior studies 55,56 and gastrointestinal symptoms (constipation, diarrhea, change in bowel habits, abdominal pain, or ileus) during follow up period using administrative codes, as described in prior publications 57
2018 Feb;34(2)