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One study explained that while the patient followed current guidelines, shortly prior to extubation, the patient developed large-volume emesis with contents consistent with food the patient reported eating several days prior (Beam and Hunter Guevara 2023)

Others maintain continuous use

Yes, but only if you maintain sterile technique and refrigerate the vial between uses

Rybelsus: Type 2 diabetes (used off-label for weight loss)

Karampitsakos T, Akinosoglou K, Papaioannou O, Panou V, Koromilias A, Bakakos P, et al

Hannay: From what data I have seen, the vast majority of Ozempic prescriptions are still coming from physicians at in-person visits