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A more gradual approach may be recommended if you: Have experienced nausea with GLP-1 medications before Are sensitive to appetite suppressants Have a history of digestive issues Prefer a gentler adjustment period In these cases, remaining on the starting dose longer, or increasing in smaller steps, can significantly improve comfort

We monitor your health to ensure your safety throughout your weight loss journey We do not require it for most patients, but you will sign a waiver stating you will see your primary care provider routinely to have blood work reviewed

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This allows us to see how much improvement hormones alone provide and identify what still needs targeted peptide support