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Bottomline The journey through long COVID is a path marked by uncertainty, with each patient experiencing a unique set of challenges and symptoms that can profoundly affect their quality of life

If GI symptoms are severe, the solution is slower dose titration (extending intervals between increases from 4 weeks to 68 weeks), eating smaller meals with lower fat content, and potentially adding ginger or vitamin B6 which have anti-nausea effects through different mechanisms

A newer class of medications, GLP-1 receptor agonists, offers a more targeted approach by directly addressing the insulin resistance at the heart of the condition

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Regarding semaglutide administration, patients initiated treatment at a dose of 0.25mg per week, with monthly escalation up to a maximum of 2.4mg per week, depending on individual efficacy and tolerance

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