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Giving a smaller dose of Ozempic or any other GLP-1 can still produce these side effects such as nausea, vomiting, muscle loss, upset stomach, headaches, and slowing of bowel movements potentially leading to ileus or obstruction. George said that microdoses of the drug are only as safe as the pharmacy producing it: To access these custom doses, Noom must use a specialized compounding pharmacy

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Indian Journal of Orthopaedics, 57 (1), 4451