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What the Evidence Actually Shows At a glance Microdosing GLP-1s typically means using 0.25 mg or 0.5 mg semaglutide long-term instead of titrating to 2.4 mg STEP-1 showed 14.9% mean body weight loss at 68 weeks with semaglutide 2.4 mg, not with sub-therapeutic doses SURMOUNT-1 showed up to 22.5% weight loss with tirzepatide 15 mg at 72 weeks No published RCT has tested a "microdosing" protocol for weight management The 0.25 mg semaglutide starting dose is a tolerability ramp, not a treatment dose GI side effects (nausea, vomiting) are the main driver of patient interest in lower doses Weight regain after GLP-1 discontinuation averaged two-thirds of lost weight by 1 year in the STEP-1 extension The FDA-approved maintenance dose for chronic weight management is semaglutide 2.4 mg weekly or tirzepatide 5 to 15 mg weekly Cost savings from microdosing are real but come with proportionally reduced clinical benefit What "Microdosing" GLP-1s Actually Means The term "microdosing" has no formal pharmacological definition when applied to GLP-1 receptor agonists

The drug has since advanced into late-stage phase 3 trials, and the first key study results are expected as soon as next month
Whenever possible avoid getting B12 shots from your PCP unless they also have some background in integrative medicine