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There is no official guidance from NICE, the MHRA, or the manufacturer specifically addressing the combination of Saxenda with intermittent fasting
The once-weekly frequency is possible because of retatrutide's half-life of approximately 6 days
While I dont usually recommend taking iodine supplements until addressing other root causes, you can certainly talk with your practitioner about whether a low-dose iodine supplement might be right for you
If tolerated, the documented approach is to stay at the current step for the full interval before the next scheduled escalation not to leapfrog steps
When injected before bed, it amplifies the largest natural GH surge of the day (the one that occurs during slow-wave sleep)
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