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Most patients reach their maintenance dose within 8 to 12 weeks, depending on how well they tolerate the medication

But the bloating , nausea, vomiting, or fatigue made it impossible to reach or maintain a therapeutic dose

[6] Liver enzymes (ALT, AST): GLP-1s arent usually liver-toxic, but a baseline screening for liver inflammation is smart if you have liver history or take other medications metabolized there

17 Statement #13: strong recommendation, low quality evidence (1C) Neurodevelopmental prognosis is mainly dependent on total duration of coma, peak ammonia levels, and number of episodes of hyperammonemia

many patients start a course of treatment eg