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These include serious infection, uremia or renal failure, drugs with bone marrow suppression properties (e.g., chloramphenicol), or concurrent undiagnosed folic acid or iron deficiency anemia

Proactive check-ins every four weeks

Because it isnt licensed for weight loss, any private prescription for that purpose would be off-label, which a prescriber has to justify and explain

Practical Ways to Reduce Side Effects You can reduce the severity of side effects without compromising results

Phase Early escalation Weeks 5-8 Weekly Dose 4 mg Notes Increase by 2 mg every 4 weeks

Nevertheless, individual responses can vary, and monitoring for effectiveness of both treatments remains important