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Ast J, Arvaniti A, Fine NHF, Nasteska D, Ashford FB, Stamataki Z, et al
Protocol 1: the slow and steady semaglutide escalation Goal: Minimize side effects while reaching effective therapeutic levels Schedule: Weeks 1-6: 0.25 mg weekly (extended from standard 4 weeks) Weeks 7-12: 0.5 mg weekly (extended) Weeks 13-16: 1.0 mg weekly Weeks 17-20: 1.7 mg weekly Week 21+: 2.4 mg maintenance Why the plotter supports this: By extending the initial low-dose phases to six weeks instead of four, you ensure complete steady state establishment before escalation
this effect may be due to interference with erythrocyte maturation
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