How to take it
Weekly injection
- Choose one weekly day; rotate sites; clean skin; inject slowly.
- Use fresh needle each time; dispose in sharps container.
- Store pens refrigerated; protect from heat/freezing.
Missed dose
- If within 4 days of your usual day, take it; if >4 days, skip and resume on the next scheduled day.
- Never double doses.
GI comfort
- Slow eating, smaller portions; avoid greasy or very sugary meals.
- Prioritize lean protein, vegetables, fiber; walk after meals.
- Hydrate consistently; consider electrolytes if advised.
What to expect by week
Weeks 0–2
Noticeable appetite reduction is common; mild nausea or fullness possible.
Weeks 2–8
Weight change often begins; GI effects usually ease with pacing and hydration.
8+ weeks
Continued weight and metabolic improvements as habits and dosing stabilize.
Monitoring
- Titration check-ins typically every 4–8 weeks.
- Labs per plan (glycemic markers, lipids, metabolic panel) and vitals as indicated.
- Track appetite, weight, hydration, GI symptoms.
Common, usually mild
- Nausea, early fullness, constipation or loose stools, reflux.
- Injection-site redness/itch (should remain mild and brief).
Call us immediately
- Severe or persistent abdominal pain, especially with nausea/vomiting.
- Unable to keep fluids down; signs of dehydration or dizziness.
- Yellowing skin/eyes or sharp right-upper abdominal pain.
- Allergic reaction: swelling, rash, breathing difficulty.
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Habits that amplify results
- Protein target ~0.7–1.0 g/lb goal body weight (per clinician guidance).
- Daily hydration and fiber; light movement after meals.
- Resistance training 2–4x/week to preserve lean mass.
- Limit alcohol; separate caffeine from late meals.
FAQs
- Travel? Keep pens cool (not frozen) with an ice pack in carry-on; store needles safely; maintain your weekly day.
- Constipation? Hydrate, add fiber, walk daily; ask before OTC aids.
- Can I pause doses? Do not change or pause without clinician guidance; appetite may rebound and GI effects can return if restarted high.
This guide is educational and not a substitute for medical advice. Follow your clinician’s instructions.