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Being gentle with yourself in hard times is crucial
The standard protocol in clinical trials started at lower doses (1mg or 2mg weekly) and titrated upward every four weeks to minimize gastrointestinal side effects
Clinical research shows average reductions of one to two pounds per week during the initial month, though individual results depend heavily on baseline metabolism, physical activity, and adherence to healthy eating patterns
Lupus can also cause a form of gastroparesis by affecting the nerves controlling digestive movement
