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While heart palpitations specifically are not listed among the common adverse reactions in the FDA prescribing information for semaglutide products, increased heart rate is a documented effect, particularly with Wegovy
Enebo LB et al
If a dose of injectable semaglutide is missed, patients should administer it as soon as possible within 5 days after the missed dose
Protocol 1: moderate weight loss (10-15% body weight) Goal: Steady, sustainable weight loss with minimal side effects Tirzepatide approach: Standard escalation to 5-7.5 mg Hold at the dose where you achieve consistent weekly loss of 0.5-1% body weight Expected timeline: 24-36 weeks to target Likely maintenance dose: 5-7.5 mg Retatrutide approach: Standard escalation to 4 mg 4 mg delivered 12.9% weight loss at 24 weeks in trials Hold at 4 mg if achieving target rate Expected timeline: 20-30 weeks to target For moderate goals, both compounds work well at their lower dose ranges
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