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Over 250 pounds (113kg+): Maximum standard dosing of 500mcg applies, though some individuals may benefit from extending cycle length rather than increasing dose

Personalized Care: We consider your weight loss goals and create a customized plan

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It is dosed at 1 mg to 2 mg daily, subcutaneously

Frequency depends on your health goals and baseline B12 levels

Providers need secondary interventions that address this metabolic slowdown rather than simply forcing further appetite suppression