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Signs you should slow down the titration Extend your stay at the current dose by 2-4 additional weeks if you experience any of the following at the end of a standard 4-week period: Nausea persisting beyond the first 7 days after the last dose increase Vomiting more than twice per week Diarrhea lasting more than 10 days at the current dose Significant fatigue or weakness that does not improve with adequate nutrition and rest Weight loss exceeding 1.5% per week (too-rapid loss increases gallstone risk and muscle loss) Slowing the titration is not failure

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GLP-1s have changed the practice of medicine for both the treatment of type 2 diabetes and obesity

Steven Shane, a pediatric obesity doctor out of Reno, told lawmakers on the Senate Committee on Health and Human Services last week that, although these types of medicinal and surgical treatments are expensive upfront, covering them would financially benefit the state in the long term by reducing the cost of chronic diseases associated with obesity

Then Lisa discovered allulose

When you go off the drugs and then take them again, youre more likely to experience the gastrointestinal side effects again, she says, noting that these tend to lessen as you get used to the medication