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The North Carolina Board of Pharmacy, West Virginia Board of Pharmacy, and Mississippi Board of Pharmacy issued warnings about possible enforcement consequences of the use of semaglutide salts in compounding

Patient selection at 7.5mg Before prescribing the 7.5mg dose, confirm that the patient has tolerated 5mg for a minimum of four weeks.[3][4] Assess hypoglycemia risk if insulin or a sulfonylurea is co-prescribed dose reduction of the partner agent may be required.[3][4] Evaluate renal function in patients at risk of volume depletion from gastrointestinal adverse events, and reassess management of obstructive sleep apnoea where applicable, as weight loss during treatment may alter disease severity.[3] A doctor or pharmacist should confirm jurisdiction-specific indications, applicable pack sizes, and any pediatric-specific prescribing requirements before initiating.[3][4] MOUNJARO is not indicated for type 1 diabetes mellitus and must not be used as a substitute for insulin.[4] Administration & How to Use MOUNJARO 7.5mg KwikPen MOUNJARO 7.5mg KwikPen is administered once weekly via subcutaneous injection at any time of day, independently of meals.[3][4] Approved injection sites include the abdomen, thigh, or outer upper arm

And that's important because getting out there in the community is key to building that trust