How to take it
Weekly injection
- Choose the same day weekly; rotate sites to avoid lumps.
- Clean skin, pinch, insert at 90° (or 45° if lean), inject slowly.
- Dispose of needles in a sharps container; never reuse needles.
- Store pens refrigerated; once in use, keep in original pen and protect from heat.
Missed dose
- If it’s within 5 days of your scheduled day, take it; otherwise skip and resume the next scheduled dose.
- Do not double up doses.
GI comfort
- Eat slowly; smaller portions; favor lean protein, produce, and fiber.
- Avoid heavy/greasy meals and large late-night meals.
- Hydrate through the day; add electrolytes if needed.
What to expect by week
Weeks 0–2
Appetite often softens; mild nausea or fullness is common—small meals help.
Weeks 2–8
Weight change typically begins; steady satiety; adjust titration per plan.
8+ weeks
Weight loss builds with habits; dosing may stabilize once goals/labs are met.
Monitoring
- Visits and titration: typically every 4–8 weeks during ramp, then space out.
- Labs as indicated (glycemic markers, lipids, metabolic panel) per your plan.
- Track weight, appetite, hydration, and any GI symptoms.
Common, usually mild
- Nausea, early fullness, reflux, constipation or loose stools.
- Injection-site redness or itch (should be mild/brief).
Call us immediately
- Severe or persistent abdominal pain (especially with nausea/vomiting).
- Cannot keep fluids down; signs of dehydration or dizziness.
- Yellowing of skin/eyes or severe right-upper abdominal pain.
- Allergic reaction: swelling, rash, trouble breathing.
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Habits that amplify results
- Protein target: ~0.7–1.0 g/lb goal body weight (adjust per clinician).
- Fiber and hydration daily; walk after meals for glucose control.
- Resistance training 2–4x/week to preserve lean mass.
- Limit alcohol; space caffeine away from late meals.
FAQs
- Travel? Keep pens refrigerated when possible; use an ice pack in a carry-on; don’t freeze; keep needles in sharps or travel bin.
- Meals feel too small? Slow down, add lean protein and veggies first; stop at comfortable fullness.
- Constipation? Hydrate, add fiber, walk daily; ask before adding OTC options.
This guide is educational and not a substitute for medical advice. Follow your clinician’s instructions.