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Appetite suppression timelines vary from person to person, which is why proper dosing, monitoring, and metabolic support matter

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Patients who experience persistent palpitations beyond 8 weeks at a stable dose should undergo formal cardiac evaluation, including ECG and Holter monitoring, to rule out atrial fibrillation or other arrhythmias that GLP-1 therapy may have unmasked rather than caused

Key considerations include: 1-2 intramuscular injections per week, typically for 4-8 weeks