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This risk may affect treatment continuation in some patients

Clean the exposed top of the vial using an alcohol swab

An RCT in 36 patients with type 2 diabetes found that NAC (1,200 mg/day for 4 weeks) combined with a standard diabetes diet significantly reduced fasting glucose, HbA1c, and markers of oxidative stress compared to diet alone (Shahidi et al., J Diabetes Metab Disord, 2020) [56]

Implications for providers and patients The demand for weight loss drugs is not slowing down, and many organizations voiced concerns that there will likely be semaglutide shortages in the future that will impact patients' access to branded medications