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[DOI] [PMC free article] [PubMed] [Google Scholar] 47.Casella S, Leonardi M, Melai B, Fratini F, Pistelli L

Proton pump inhibitors (omeprazole, pantoprazole) offer the strongest suppression, reducing acid secretion by up to 90% over 24 hoursa useful option if dietary changes and antacids prove insufficient after 2-3 weeks of semaglutide use

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Opened vial: Approximately 28 days at 2-8C refrigeration

Expecting strength maintenance rather than gains represents realistic goal-setting during weight loss

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