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Patients with sluggish response (less than 0.5% weekly weight loss despite caloric deficit) increase to 1.5ml weekly or add a second injection mid-week at 0.51ml
GLP-1 medications complicate this
The most common side effects are GI-related (nausea, diarrhea, constipation) and typically resolve by week 12
Slower infusions have been shown to reduce these symptoms and may improve absorption
Blood pressure, A1C, lipids, and testosterone give a solid starting point
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