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Patients commonly report significant appetite suppression within the first few weeks of treatment, though the effect typically becomes more pronounced as the dose is gradually escalated over 1620 weeks to the maintenance dose of 2.4 mg weekly

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If the resulting injection volume is too large, you may want to start with a fresh vial and use less water

If youre not seeing immediate results, there are several possible explanations

If you are injecting in the upper abdomen, ensure you can pinch about an inch of fatty tissue to guarantee the needle stays in the correct layer