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Dosage Tier: Most providers use a titration schedule that starts at a low dose (e.g., 0.25 mg/week for semaglutide) and gradually increases

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Pregnant women and those who are breastfeeding are generally advised to avoid semaglutide because its safety has not been established in these populations

Doctors interviewed by CBS News and Healthline describe this mechanism as a major contributor to the fishy or rotten egg smell many patients report

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Stress on the body Any significant physiological change can trigger telogen effluvium, and dramatic weight loss is one of the most common triggers