At 15 mg (maximum dose) The highest approved maintenance dose produces the most weight loss but also the most side effects, including fatigue at 7% incidence
Melanotic macules are the most common lesions, affecting mainly the vermilion border and gingiva, corresponding to 86,1% of solitary melanocityc lesions of the mouth (2)
There is no Phase 1 trial, no toxicology dossier, no characterized human dose, and no adverse-event registry
In a Phase 2 trial, patients with type 2 diabetes mellitus and nonalcoholic fatty liver disease were randomly assigned to given placebo, 25 or 50 mg OCA for 6 weeks, it shows increased insulin sensitivity (by 28.0% from baseline with 25 mg OCA (P=0.019) and 20.1% from baseline with 50 mg OCA (P=0.060)), and decreased biological indicators of liver inflammation and fibrosis (NCT00501592)
Additional factors that extend or shorten semaglutide duration include your starting weight, age, insulin resistance, presence of type 2 diabetes, and lifestyle changes
Doubling up can increase the risk of side effects without added benefit