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Expect 48 pounds per month on average during active treatment, with faster loss (610 pounds monthly) during months 24 and slower loss (24 pounds monthly) beyond month 6
Best Practice: Avoid freeze-thaw cycles and protect the vial from direct light to prevent molecular degradation
Langston JW, Ballard P, Tetrud JW, Irwin I
Red flags requiring immediate evaluation include severe abdominal pain (possible pancreatitis), persistent vomiting leading to dehydration, suicidal thoughts, development of new eating disorder behaviors, syncope, chest pain, hematemesis/melena, severe constipation/obstipation, orthostatic hypotension, or marked electrolyte abnormalities
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