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The goal is to reach an effective maintenance dose for weight loss or blood sugar control while minimizing adverse effects

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Insulin resistance together with lower circulating PRL levels may act synergistically to impair beneficial metabolic action of PRL in adipocytes, and thereby exaggerate adipocyte hypertrophy and dysfunction (57)

And so water is essential for, you know, multiple reasons

Personalized Dosing The treatment typically begins at a low dose, which is gradually increased based on your response and tolerability