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If nausea persists beyond 3-4 weeks on a stable dose, consider reducing to the previous dose level and attempting re-escalation more gradually after 4-6 weeks
While these injections can benefit some, they may not be suitable for everyone and can have adverse effects
Still now i have more than 360 shots
Serious reactions are rare, but an allergic reaction is possible with any injection, which is another reason a first dose in trained hands is sensible
Therapy continues as long as positive changes occur and is adjusted or discontinued if plateaus develop or goals are achieved
Some patients prefer to add B12 as part of a broader weight-loss visit
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