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If fatigue becomes severe or if youre experiencing additional symptoms, such as dizziness or chest pain, seek immediate medical attention

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The practical sequence: stabilize first, test second, correct nutrient and biochemical imbalances third, optimize medication selection while the patient is becoming more stable, and only then consider a slow prescriber-guided taper if the need for medication has clearly diminished

That long half-life is also why titration steps are held for about four weeks rather than a few days: it takes several weekly doses for blood levels to plateau at each new rung of the ladder before the next increase makes sense

Your treatment starts with a small, once-weekly injection to help your body adjust while gently reducing appetite

When Your Provider Might Recommend Staying at a Dose While the four-week schedule is the standard, it is not a rigid rule for everyone