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Consider bariatric surgery, which remains an option

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Endocrinology 149:574579 [DOI] [PubMed] [Google Scholar] 42.Bjerre Knudsen L, Madsen LW, Andersen S, Almholt K, de Boer AS, Drucker DJ, Gotfredsen C, Egerod FL, Hegelund AC, Jacobsen H, Jacobsen SD, Moses AC, Molck AM, Nielsen HS, Nowak J, Solberg H, Thi TD, Zdravkovic M, Moerch U (2010) Glucagon-like Peptide-1 receptor agonists activate rodent thyroid C-cells causing calcitonin release and C-cell proliferation

A typical titration schedule looks like this: Weeks 1 to 4: 2mg weekly, introducing the medication and checking tolerance Weeks 5 to 8: 4mg weekly, stepping up as the body adjusts Weeks 9 to 12: 8mg weekly, moving into the therapeutic range Weeks 13 onwards: Up to 12mg weekly, maintained at the dose producing the best results The Trusta Clinic physician tailors this schedule to each individual patient based on their response, overall health, and personal goals

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