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may escalate to 14 mg based on response Must be taken on an empty stomach with a small sip of water (120 ml) and wait 30 minutes before eating, drinking or taking other oral medicines For semaglutide (Wegovy) used in weight management: Gradual escalation over 1620 weeks, starting at 0.25 mg weekly Target maintenance dose: 2.4 mg once weekly Some patients may remain on 1.7 mg if 2.4 mg is not tolerated For dulaglutide (Trulicity) : Starting dose: 0.75 mg once weekly Can be increased to 1.5 mg, 3 mg, or 4.5 mg weekly depending on response For liraglutide (Victoza) in diabetes: Starting dose: 0.6 mg daily for at least one week Maintenance: 1.2 mg daily, with possible increase to 1.8 mg For liraglutide (Saxenda) in weight management: Gradual weekly increases from 0.6 mg to a target of 3 mg daily All GLP-1 medications follow a dose-escalation protocol to minimise gastrointestinal side effects such as nausea, vomiting, and diarrhoea

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Consider increasing when Side effects are mild and controlled Appetite suppression is incomplete most of the week Weight trend has been flat for 34 consecutive weeks Consider holding when Nausea, reflux, constipation, or fatigue is lingering You are already getting full faster and eating less Weight is still trending down, even slowly We share the journey with the patient

Mixed : China classes semaglutide as a biologic if recombinant or chemical drug if synthetic, however still requires full clinical studies for all types