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Protocols recommend an initial loading phase of 22.5 mg twice weekly for 46 weeks, followed by a maintenance dose of 22.5 mg every 12 weeks

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For ulcer healing, symptom reduction may begin within 7-10 days, with continued mucosal healing over 4-8 weeks

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Contaminated medication poses infection risk

Managing gastrointestinal side effects, particularly nausea, requires a multifaceted approach that may include both behavioral modifications and potential medical interventions