Biopsy is also indicated for flat, non-thickened pigmentations that are changing or have atypical color, borders, or size
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Dose increases usually occur when: You tolerate the current dose well Digestive symptoms are minimal Appetite suppression begins to level out You are progressing comfortably Your titration may slow down if you experience: Persistent nausea Vomiting Dizziness or fatigue Difficulty maintaining adequate nutrition Rapid or uncomfortable early weight loss A slower titration is completely normal and often improves long-term success
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Switching between formulations is possible under physician guidance, but patients should not use both forms simultaneously
Furthermore, the STEP 4 trial examined long-term weight loss maintenance with semaglutide