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If you have inadvertently used expired semaglutide, you should: Contact your healthcare provider immediately to report the incident and obtain guidance on next steps

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Blood sugar improvements (if relevant) tend to be significant by this point

How to Transition from Tirzepatide to Compounded Semaglutide If your provider determines that a switch to compounded semaglutide is appropriate, they may recommend the following approach: Gradual Dose Adjustment: Depending on your current dose of tirzepatide, your provider may start you at a lower compounded semaglutide dose and adjust it over time