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Most titration schedules start at 1-2mg for the first month, increase to 4mg for month two, then reach 8mg or 12mg by month three
The presence of chronic hyperglycemia, insulin resistance, oxidative stress, and pro-inflammatory mechanisms contribute to endothelial dysfunction in patients with diabetes mellitus (61)
Bessesen said most of his patients want to come off the medication after the weight is lost
However, the results depend on the number of sessions taken and your metabolism
Providers often review these biomarkers at baseline and during treatment to assess whether current dosing is optimal or if adjustments are warranted
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