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Category 2: Effectively prohibited
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Most people find either a mostly empty stomach or a moderate meal 30 to 60 minutes before injection works best
Context for confounding and differential diagnosis: SGLT2 inhibitors are known to increase genital mycotic infection risk, including vulvovaginal candidiasis, and real-world studies demonstrate clinically significant vaginitis incidence in usersmaking SGLT2 exposure a critical confounder when patients attribute yeast infections to semaglutide
Severity and progression : Allergic reactions, especially anaphylaxis, tend to escalate quickly and require urgent attention
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