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Impact of Sleeve Gastrectomy on Type 2 Diabetes Mellitus, Gastric Emptying Time, Glucagon-Like Peptide 1 (GLP-1), Ghrelin and Leptin in Non-morbidly Obese Subjects with BMI 30-35.0 kg/m 2 : a Prospective Study

The good news is that most side effects are temporary and typically improve within the first few weeks as your body adjusts to the new medication
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Accelerated protocols cut this window to two weeks, which means your body may still be adapting to the previous dose when the next increase hits

A typical titration schedule would be: Start with 0.25mL of the suspension placed under the tongue daily for 30 days