Gather Necessary Supplies : Before starting, ensure you have all required items within reach, including the semaglutide pen, alcohol swabs, and a sharps container
Mishra R, Raj R, Elshimy G, Zapata I, Kannan L, Majety P, et al
JAMA 331 , 778791 (2024)
When drawing doses, minimize the time your vial spends exposed to room lighting
Your doctor should review your complete supplement list, assess your baseline glucose levels, and plan a staggered transition if neededpotentially tapering berberine while initiating semaglutide at a conservative starting dose
WARNING Before using metformin, tell your health care provider about your medical history, especially if you have: kidney disease heart disease or congestive heart failure liver disease metabolic acidosis or diabetic ketoacidosis high ketone levels in your blood or urine you use insulin or other diabetes medications Talk to your health care provider if you are planning to become pregnant or if pregnant or breastfeeding