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The intensity and duration of burping vary by individual metabolism and how quickly your dose escalates

5.01.26 May report showed increase in pending actions The Mounjaro MDL grew to 3,636 pending actions
However, this effect has not been reported in any of the octreotide studies for dumping syndrome to date, which suggests this is not a relevant issue in this population 17,28,67,68,121,122,123,124,125,126,127,128,129,130,131

It also changes how payers model persistence and discontinuation: one missed month is a bigger clinical gap than one missed week