You gradually increase your dose every 4 weeks, but you dont necessarily have to increase to the highest dose some people dont tolerate the 2.4 mg dose very well
MC4R, a G-protein-coupled receptor highly expressed in the hypothalamus and brainstem among various other brain regions, was then cloned in 1992 and found to mediate the anorexigenic effects of -MSH [28]
doi: 10.1002/1097-0142(195301)6:1 3.0.co;2-c
Secondary outcome Patients with IBS who were prescribed antidepressants experienced a significantly higher incidence of secondary outcomes, including hypertension, cardiac arrhythmia, inpatient encounters, heart failure, ischemic heart disease, aspiration pneumonitis, falls, stroke, serotonin syndrome, suicidal ideation, gastrointestinal bleeding, and obesity
Woodburn, K