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Alternative approaches Standard titration with GI support: Start at the standard 2.5 mg and use anti-nausea strategies (ginger, small meals, hydration, timing injections at bedtime) to manage side effects rather than avoiding them through lower doses

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Not for All Patients Contraindicated in individuals with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)