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However, this was a small study of 48 individuals and more research is needed to inform clinical decision making and treatment guidelines

Patients start with a low dosage of 2.5 mg and increase at regular intervals under the supervision of their doctor

If you experience any of the following, remain at your current dose for an additional 2 to 4 weeks before escalating: Nausea lasting more than 3 days after injection Vomiting more than once per week Inability to maintain adequate caloric intake (under 1,000 calories daily) Signs of dehydration despite increased fluid intake New onset of significant fatigue that interferes with daily function Slowing escalation is not failure