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doi: 10.1249/01.mss.0000227314.85728.35

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Every documented case of semaglutide-associated allodynia has resolved either with medication discontinuation, dose reduction, or spontaneously over weeks to months while continuing the medication

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Specific triggers for medical consultation include achieving less than 5% body weight reduction after reaching the maintenance dose (for Wegovy, after 12 weeks at 2.4 mg as per FDA labeling), prolonged weight loss plateau despite adherence, or intolerable side effects preventing dose escalation to therapeutic levels

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