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What matters more than which medication or formulation you choose is whether you have a physician who evaluated you properly before prescribing, who has access to both brand-name and compounded options, and who will stay involved in your care as your treatment evolves

doi: 10.14814/phy2.15462

Some patients successfully maintain with lower doses, spacing injections, or transitioning off medication after 2-3 years if they've built sustainable habits and addressed underlying metabolic dysfunction