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Dosing schedule follows a gradual escalation to minimise gastrointestinal side effects: Starting dose : 2.5 mg once weekly for four weeks Maintenance dose : Increase to 5 mg once weekly after the initial four weeks Dose escalation : If additional glycaemic control or weight loss is needed, the dose may be increased in 2.5 mg increments at four-week intervals Maximum dose : 15 mg once weekly The injection should be administered subcutaneously in the abdomen, thigh, or upper arm , rotating injection sites to reduce the risk of lipodystrophy

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Additionally, Rybelsus improves glycaemic control, and in some individualsparticularly those on concurrent glucose-lowering therapies such as insulin or sulfonylureasthis can result in hypoglycaemia (low blood sugar), a well-recognised cause of dizziness

The use of Mounjaro is not recommended if you have a medical history of any of the following conditions: Type 1 diabetes Family history of medullary thyroid cancer (MTC) Pancreatic inflammation Thyroid cancer Multiple endocrine neoplasia syndrome type 2 (MEN 2) Apart from these, Mounjaro should not be taken if you are already on any of the following medications: Acetaminophen (Tylenol) Birth control pills Insulin Warfarin Digoxin Carbamazepine Other antidiabetic medications such as glipizide, glimepiride, glyburide, etc

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