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I've had patients who have ended up in the hospital who have not had their medication for three weeks and started their dose at the higher lever and now they are throwing up, having nausea," she added

Adjustments are based on side effects, appetite response, and weight loss trajectory rather than pushing toward a maximum dose

A gel that spreads easily across wet skin and rinses away completely, with none of the tight, squeaky feeling that makes daily washing uncomfortable by February

Both are approved by the US Food and Drug Administration (FDA) for people with obesity or overweight, along with a reduced-calorie diet and increased exercise

Education covers device type, storage, mixing when applicable, and safe needle disposal so home use is consistent