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Maximum effects are typically reached within 2-3 months

The Department of Health and Human Services framework for eating disorder treatment emphasizes integrated care not just medical management of weight, but psychological support, proper nutrition, substance abuse screening where relevant, and ongoing monitoring of eating behaviors across a patient's full health picture

Take 30 minutes before eating

If the patient needs additional glycemic reduction, it can be increased to 14 mg once daily

And do not force a snack on a day when you are already at target, because eating for the sake of eating is not the goal and never was