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It's been going on for decades with OTC drugs

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Reported observations include: Temporary injection site irritation Mild redness Temporary swelling Local discomfort Mild headache Researchers continue examining long-term biological responses across different laboratory models

The company has filed a growing list of trademark actions against parties that use its trademarks, Ozempic included, to describe compounded products not made by Novo, arguing that such references risk confusing consumers and blurring the distinction between FDA-approved drugs and compounded alternatives