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Dark urine whilst taking Ozempic (semaglutide) can arise from several mechanisms , though it is not directly listed as a common adverse effect in the product's Summary of Product Characteristics

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FULL PRESCRIBING INFORMATION, including BOXED WARNING , and MEDICATION GUIDE.

In clinical studies, some patients have lost up to 20% of their body weight using Tirzepatide

Both agents influence metabolism and body composition through distinct but overlapping pathways, raising important questions about safety, interactions, and regulatory compliance