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Description
Some research suggests that people who respond well to one dual-agonist mechanism may not respond as well to the other, and vice versa
If you experience a sudden change in effectiveness after receiving a refill, the pharmacy switch could be a factor worth discussing with your provider

The pattern across the timeline is that tolerability improves as effect accrues the roughest GI window is early, precisely when weight change is smallest, and by the time therapeutic doses are driving measurable change the gut has usually adapted to each step

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