Speak with your provider with any questions or concerns about side effects you may be experiencing
However, the drug is started at a low dose (2 mg) and escalated over approximately 17 weeks to the full maintenance dose (12 mg)
30 LiebauE.De MariaF.BurmeisterC.PerbandtM.TurellaP.AntoniniG.et al (2005)
Seek medical advice if fatigue: Persists beyond several months without improvement, despite adequate nutrition and hydration Worsens progressively or becomes debilitating, significantly impairing daily activities or work capacity Is accompanied by severe or persistent gastrointestinal symptoms (intractable nausea, vomiting, diarrhoea, abdominal pain) Occurs alongside signs of dehydration (dark urine, dizziness, reduced urine output, dry mouth) Is associated with symptoms of hypoglycaemia (tremor, sweating, confusion, palpitations), particularly in patients taking concurrent insulin or sulphonylureas Urgent medical attention is required if patients experience: Severe abdominal pain , especially if radiating to the back, which may indicate pancreatitisa rare but serious adverse effect of GLP-1 medications

Nonetheless, even with lower net prices, medical cost savings would be predicated on improvement of levels of persistence on treatment regimens, along with more intensive nutritional support and lifestyle management (diet and exercise)
Your provider will never increase your dose faster than your body is ready for