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Early doses during the initial titration phase could amplify nausea or other adjustment side effects that are already likely as your body adapts

A structured plan removes decision fatigue when your appetite is low and ensures you are getting adequate protein and micronutrients despite eating less overall

6.6 When to Refer Referral to a clinician or dietitian may be appropriate when: Persistent GI intolerance limits intake Weight loss exceeds 20% body weight Multiple laboratory abnormalities are present Underlying malabsorptive or gastrointestinal disease exists Patient is elderly or medically complex GLP-1 therapy should not occur in isolation from nutritional oversight when risk factors are present

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