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Kumar says

Keeping this in mind, even though this medication doesnt mandate rigorous workouts or a super strict diet, its essential to prioritize healthy eating

The primary differences are the format (vials versus pre-filled pens), the cost (significantly less expensive), and the fact that compounded medications aren't individually FDA-approved products (though they're legally prepared by licensed pharmacies when the brand-name versions are on the FDA shortage list)

The dosage is then gradually increased every four to five weeks until reaching 2.4 mg, depending on your bodys response to each adjustment

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This makes it one of the more frequently documented side effects, though it ranks lower than nausea or gastrointestinal changes in terms of severity and patient dropout rates