The medication comes in a small box filled with ice packs
The short answer is yes, you can take Ozempic and metformin together

Dietary intake by patients taking GLP-1 and dual GIP/GLP-1 receptor agonists: A narrative review and discussion of research needs, Obesity Pillars (2024) The excessive caloric intake and micronutrient deficiencies related to obesity after a long-term interdisciplinary therapy, Nutrition (2017) Investigating nutrient intake during use of glucagon-like peptide-1 receptor agonist: A cross-sectional study, Frontiers in Nutrition (2025) Glucagon-like peptide-1 receptor agonist use is associated with lower blood ferritin levels in people with Type 2 diabetes and hemochromatosis: A nationwide register-based study, BMJ Open Diabetes Research & Care (2023) Dietary supplement considerations during glucagon-like peptide-1 receptor agonist treatment: A narrative review, Obesity Pillars (2025) Obesity and vitamin D deficiency: A systematic review and meta-analysis, Obesity Reviews (2015) Nutrient recommendations and databases, National Institutes of Health, Office of Dietary Supplements Nutritional deficiencies and muscle loss in adults with Type 2 diabetes using GLP-1 receptor agonists: A retrospective observational study, Obesity Pillars (2025) Medically accurate: SingleCares Medical Review Board analyzes all of our content to confirm its in line with current medical advice

Nat Commun (2016) 7:10615
Add the injection site map and the side effect log, and the routine becomes much easier to follow without keeping everything in your head