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If any family member had medullary thyroid carcinoma, you should not take Ozempic or any GLP-1 drug
Higher semaglutide dose
While UK healthcare professionals can, in exceptional circumstances, prescribe unlicensed medicines under the MHRA 'specials' framework, this would rarely be appropriate for ED given the availability of licensed, evidence-based alternatives
If it has been accidentally frozen, do not use it
However, some people cannot take vitamin B12 injections safely, including those with Lebers disease or similar eye concerns, kidney disease, liver disease, iron or folic acid deficiency, an active infection, or those taking medications that may interact with vitamin B12
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