Options for managing tolerance include a brief dose reduction for 4 to 8 weeks ("drug holiday" at a lower dose, not complete cessation), lifestyle optimization to maximize the medication effect, evaluation for other contributing factors (thyroid function, cortisol, sleep quality, medication interactions), and consideration of adding a complementary compound to address specific aspects of the plateau
Clean, pure, well-packaged
Communication and education are, therefore, fundamental to improving compliance across all veterinary care areas
Will try a weight loss injection next
Gentle warming in your hands for a few minutes is acceptable
In each case, a provider should confirm a deficiency before starting treatment