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But this is also true of exercise and diet

If thats the case, just be prepared to redo the gradual dosage increase to minimize side effects

This is due to a combination of fear of self-injection, even with an auto-injection device, as well as the stigma many living with diabetes have that moving to injections means they have failed. Managing expectations for results : Patients may stop treatment if they dont see immediate weight loss results, whether based on expectations of rate or extent of weight loss

Do not increase until nausea has subsided to mild or absent levels for at least 7 consecutive days
Early gastrointestinal adaptation can also mask initial fat loss with temporary water retention, so patience through week 4 is essential before adjusting expectations

Krasner NM, Ido Y, Ruderman NB, Cacicedo JM