Gently swirl/roll until dissolved (do not shake)
Further escalation to 2-2.4 mg daily follows after another 2-4 weeks if needed
some are single-use (e.g., dulaglutide, Wegovy) while others are multi-dose (e.g., Ozempic, Victoza/Saxenda)
Back Eng, J, Kleinman, WA, Singh, L, et al (April 1992) 'Isolation and characterisation of Exendin-4, an Exendin-3 analogue, from heloderma suspectum venom', The Journal of Biological Chemistry , 267/11, 7402-06
But to answer your question directly, the concern about getting medication without seeing a clinician or having more comprehensive care is: one, the medication is not teaching you anything about healthy living, how to be physically active, which is also important
It travels to your brain and your pancreas to deliver three critical messages: To the Pancreas: Release insulin to handle this sugar. To the Stomach: Slow down