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Are not seeking aggressive appetite suppression
However, the absence of MS-specific contraindications does not eliminate the need for careful clinical assessment when initiating semaglutide in MS patients
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No titration: the dose stays at 20 units throughout all 10 days of the cycle
Schedule a consultation if nausea persists beyond 8-12 weeks, significantly impacts quality of life, or prevents adequate nutritional intake despite management strategies
When oxidative throughput remains sustained while substrate availability declines, discrete rate-limiting biochemical nodes may emerge [76, 77]
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