Some patients continue to higher maintenance doses of 21 mg daily based on tolerance and weight loss response, though this requires individual assessment by a healthcare provider
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Patients often begin with this lower dose for the first 30 days to allow their bodies to adjust to the medication and to minimize gastrointestinal side effects
Muvva A, Lakshman D, Dwibhashyam VSNM, Swapnil D, Shaila AL