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After a one-month break, healthcare providers typically recommend restarting at a lower doseoften 2.5 mg weeklythen gradually re-escalating to minimize gastrointestinal side effects while restoring metabolic benefits

I do remember two of the people who had twitching after-effect have now found out they have swollen brain stems

van de Waterbeemd et al., 2013

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Conclusion: Utilizing advanced imaging methods, including MRI-PDFF and MRE, in a prospectively enrolled cohort of overweight and obese adults, the prevalence of cirrhosis was 4.5%