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The four-week titration between dose increases was specifically designed to minimize these effects by allowing GI adaptation before increasing the dose further

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So while distressing, take heart the hair loss is likely temporary rather than causing lasting balding disorder.

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From there, your provider will also consider things like: Improvements in blood sugar Changes in blood pressure Cholesterol levels How stable your weight has been over several weeks Once those pieces start lining up, your provider may start talking about a maintenance dose so you can keep your progress steady