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Women who have never given birth to an infant (nulliparity) or are at a very late stage are at higher risk compared to women who have given birth to multiple infants (multiparity) (4851)

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The medication is initiated at 2.5 mg once weekly for 4 weeks, then increased by 2.5 mg increments at 4-week intervals as tolerated, with typical maintenance doses of 5 mg, 10 mg, or 15 mg

For persistent symptoms, clinicians may consider laboratory evaluation (electrolytes, kidney function, lipase), right upper quadrant ultrasound for biliary symptoms, or gastric emptying scintigraphy

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