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Some people do have difficulties ingesting supplements, at which point a higher dosage can be prescribed (up to 10,000 mcg) by your doctor, in order to ensure you are getting the sufficient levels your body needs

What is worth tracking if you are prescribed one If a clinician has put you on one of the approved drugs, the variables that actually inform the next appointment are unglamorous: the date of each weekly injection, which site was used, the titration step you are on and when it changed, side effects and their timing relative to the dose, weight trend over months rather than days, and food and activity patterns as appetite shifts

Important limitations on this safety profile: the longest trial was 24 weeks, the total trial population is small by modern standards, and the clinical trials used oral dosing