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If your physician thinks early escalation makes sense for you, that's a case-by-case call, not a general protocol

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After this period, the dosage may be adjusted based on the individuals response and goals for weight loss

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Andrade G, Gorgulho B, Lotufo P, Bensenor I, Marchioni D (2018) Dietary selenium intake and subclinical hypothyroidism: a cross-sectional analysis of the ELSA-Brasil study

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Walker AF, Graham S, Maple-Brown L et al (2023) Interventions to address global inequity in diabetes: international progress

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