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In clinical practice, maintenance dosing is often: Lower than peak weight-loss dosing Adjusted slowly, not abruptly Reassessed periodically rather than fixed The goal is always the lowest effective dose that maintains appetite control without unnecessary side effects

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This can keep you motivated to maintain lifestyle changes

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Now, in people who are, I certainly use it a lot in patients who are either underweight or normal weight, because that's a lot of the MCAS population because they have food intolerances, they can't eat, they have gastroparesis