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The case report patient was started at 150 mg and increased to 400 mg, with improvement noted within one month of the combined intervention

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A 75-unit maintenance dose represents a mid-range step in this progression, commonly used for patients who need moderate appetite suppression and metabolic enhancement

The starting dose used in clinical trials was 2 mg, injected subcutaneously once weekly

Conflict of interest Shweta Urva, Tonya Quinlan, John Landry, Xiaosu Ma, Jennifer A

Patients are encouraged to report any suspected side effects to the MHRA through the Yellow Card scheme (yellowcard.mhra.gov.uk)