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Semaglutide can be expensive without insurance

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It requires a medical evaluation and prescription, and it is not appropriate for patients with a personal or family history of medullary thyroid carcinoma, certain types of pancreatitis, or specific other contraindications

Regarding the use of a syringe rather than common pre-filled pens: Compounding Pharmacies: Sometimes, a compounding pharmacy prepares semaglutide in a vial, allowing for specific dosages or formulations not readily available in standard pens