Its an option, but generally the subcutaneous injection is more efficient and predictable in effect (nearly 100% bioavailability via injection versus variable absorption nasally or orally)
Untreated hypoxia (e.g., from non-compliance with CPAP for sleep apnea) can exacerbate secondary polycythemia
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If you are considering any of these therapies, come prepared: bring a clear symptom list, recent labs, a record of current medications and supplements, and a plan to work on the lifestyle basics in parallel
However, compounded semaglutide, while potentially cheaper, lacks FDA approval and warrants caution