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The dosing schedule then continues with incremental increases of 2.5 mg after at least four weeks at each dose level, progressing through the following sequence: 2.5 mg once weekly (weeks 1-4): Initial tolerability dose only 5 mg once weekly (weeks 5-8): Minimum therapeutic dose 7.5 mg once weekly (weeks 9-12): Intermediate dose option 10 mg once weekly (weeks 13-16): Higher therapeutic dose 12.5 mg once weekly (weeks 17-20): Higher therapeutic dose 15 mg once weekly (week 21 onward): Maximum approved dose The FDA label specifies that dose escalation should occur after at least four weeks at each dose level, though clinical judgment may warrant extending this timeline if patients experience significant gastrointestinal symptoms

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Current management of dumping syndrome is limited in both evidence and effect, with more reported side effects and treatment having more side effects, needing more regular dosing and being more expensive