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Even 1300 calories a day, as is offered on the 4 and 2 and 1 program, is extremely difficult for most people to sustain

Constipation and dizziness, which are known side effects associated with this type of medication, were more common with semaglutide

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The escalation schedule often follows this pattern: Week 1-4 : 0.25 mg once weekly Week 5-8 : 0.5 mg once weekly Week 9-12 : 1.0 mg once weekly Week 13-16 : 1.7 mg once weekly Week 17 and beyond : Up to 2.4 mg once weekly , which is the maximum dose for weight loss