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It is released in pulses, mostly during deep sleep, with smaller pulses occurring around exercise and during fasting

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These belong to a class of drugs called glucagon-like peptide-1 (GLP-1) receptor agonists

Therefore, providers evaluate progress individually

A 500mcg daily protocol under split dosing would look like: 300mcg upon waking (fasted), then 200mcg approximately 30 minutes before dinner or before bed on an empty stomach

However, many patients prefer the telehealth route because it eliminates the need for frequent office visits and the higher overhead often associated with physical clinics