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Start titration exactly as recommended, because how quickly you escalate matters as much as what you change on the plate: Begin 0.25 mg once weekly for weeks 14 Move to 0.5 mg weekly for weeks 58 Continue gradual increases to your maintenance dose Pair careful titration with targeted, testable adjustments to meals, movement, and simple OTC supports to reduce the risk of severe gas and other GI symptoms as you adapt

The 2-4 week window is not a hard cutoff

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Total monthly cost, including any separate membership, consultation, or shipping charges beyond the headline medication price

/ If the food noise is lower, it is much easier to remove tempting items from your pantry without feeling deprived