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The first meaningful escalation
Week 4 Weight 23% from baseline or 7-day average clearly trending down Waist 23 cm Hunger/cravings by 23 points Week 8 Weight 5% or waist 46 cm Side-effects controlled at current dose Weeks 1224 Weight 710% HbA1c 0.51.0% if elevated at baseline Triglycerides and BP improving Lean mass preserved on DXA/BIA (thanks to protein + resistance training) Rate cap to protect muscle/skin: aim for 1% body-weight/week
Websites such as GoodRx often provide printable coupons accepted at Costco and other pharmacies
Hyman recommends 600 milligrams of NAC per day
Try to have several alcohol-free days each week
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