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If youre paying cash, consider LillyDirect or NovoCare Pharmacy, which may have more consistent availability

Keep meals small and frequent Prioritize protein 1.2 to 2.0 g/kg of adjusted body weight per day, per 2025 joint nutrition guidance from ACLM, ASN, OMA, and The Obesity Society paired with resistance training to preserve lean mass Stay hydrated at least 64 oz of water daily

This is the same mechanism that semaglutide uses, and it accounts for much of the appetite reduction patients experience

If you did not order a B12 formulation, contact your pharmacy before using it

Expert Opinions and Advice Experts recommend that you stay in touch with your healthcare provider during your treatment

Severe, bloody, or week-long GI symptoms are a red flag and warrant a same-day call to your clinician