Using the clinical trial escalation protocol (2mg starting dose with 2mg increases every 4 weeks), reaching the 12mg maintenance dose takes approximately 20 weeks
(2022) Lee and Burgess (2025) Mayfield et al
Products obtained from unregulated sources may be counterfeit, contaminated, improperly dosed, or unsafe
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### Recommended: 5mg/mL (Most Common) | Vial Size | BAC Water to Add | Concentration | Volume per 0.5mg Dose | |-----------|-----------------|---------------|-----------------------| | 5mg | 1.0mL | 5mg/mL | 0.10mL | | 10mg | 2.0mL | 5mg/mL | 0.10mL | | 20mg | 4.0mL | 5mg/mL | 0.10mL | At 5mg/mL, each 10 units on an insulin syringe equals 0.5mg making dose calculations clean and straightforward
Phase 2 Side-Effect Frequencies at 4.5 mg/week (Lancet 2021) Side Effect Nausea Incidence at 4.5 mg/week 47% Side Effect Injection-site reactions Incidence at 4.5 mg/week 43% Side Effect Constipation Incidence at 4.5 mg/week 21% Side Effect Fatigue Incidence at 4.5 mg/week 20% Side Effect Allergic reactions (any) Incidence at 4.5 mg/week 10% Side Effect Vomiting Incidence at 4.5 mg/week 8% Side Effect Loose stools Incidence at 4.5 mg/week 7% Side Effect Headache Incidence at 4.5 mg/week 7% Side Effect Indigestion Incidence at 4.5 mg/week 4% Incidence was lower at lower doses