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They may be able to lower the dose and then gradually bring it back up to help limit nausea as your body adjusts to the medication

A consistent upward trend of more than 15 beats per minute above baseline, or any reading consistently above 95 at rest, warrants a pause in dose escalation and consultation with a physician

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The medication is technically only FDA approved to treat Type 2 diabetes, but its so effective at reducing body weight that healthcare providers often prescribe it off-label as a weight loss medication