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This is particularly helpful for patients who have undergone bariatric surgery or lost massive amounts of weight
Doctors usually start patients on a low dose, increasing it every four weeks to minimize side effects
Either way, the medication loses potency and should not be used
Most providers recommend starting at 0.25 mg weekly and waiting 4 weeks (rather than 2-3 weeks) before increasing, because post-surgical digestion is already compromised and adding a powerful anti-nausea medication too quickly can overwhelm your system
This can manifest as: reduced fetal movements and abnormal position in the uterus floppy appearance when held rare, weak cry poor sucking reflex
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