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The phrase usually refers to compounded or off-label dosing schedules that sit below 5 mg per week, sometimes at 2.5 mg or even 1 mg, marketed as a way to capture the appetite suppression and modest weight loss without the gastrointestinal side effects that hit hardest at higher doses

They will review your medical history, assess any potential risks, and help you decide on the next best steps

And you bear the consequences if something goes wrong

1996 Oct;28(10):1085-7

Consider whether the keto approach is sustainable for you long-term, because sustainability is what determines whether this exit strategy works at the 12-month mark

Sonographic evaluation of para- and perirenal fat thickness is an independent predictor of early kidney damage in obese patients