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Alternative concentrations: 5mL water = 200mcg/mL (lower concentration, larger injection volume) or 1mL water = 1000mcg/mL (higher concentration, smaller injection volume but reduced measurement precision)

All of these can disrupt the hair growth cycle

Weeks 17 and beyond (optimization phase): If weight loss plateaus and you have not reached your goal, further dose increases (up to 15 mg weekly) may be appropriate

Pharmaceutical teams can work through these channels to create mutually agreeable criteria for instance, by providing real-world evidence that skipping older steps does not adversely impact outcomes, thereby advocating for reduced step requirements