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Heres how it usually breaks down: Intravenous (IV): 30 mg once Patients 65 years or older, renally impaired, or under 110 lb: 15 mg once Intramuscular (IM): 30 or 60 mg once Patients 65 years or older, renally impaired, or under 110 llb: 30 mg once Multiple-dose treatment administered every 6 hours: 30 mg IV or IM every 6 hours, not exceeding 120 mg per day Patients 65 years or older, renally impaired, or under 110 lb: 15 mg IV or IM every 6 hours, not exceeding 60 mg per day Oral dosing: Only recommended as continuation therapy after IV or IM dosing and should not be used as an initial dose

The mechanism underlying these opposing gastrointestinal effects likely relates to semaglutides complex effects on gastrointestinal motility, with some patients experiencing accelerated intestinal transit while others experience overall slowing of gastrointestinal motility