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Whether they end up vomiting and missing school or work just depends on the person
While this approach works well at first, it has a high hidden cost: tracking can become fragmented, making early metabolic wins hard to see
The dose is increased gradually to reduce side effects: Starting dose: 1.5 mg once daily for one month Escalation: 4 mg, then 9 mg, then 25 mg, with a minimum of one month at each dose level Maintenance dose: 25 mg once daily, the maximum recommended single daily dose
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