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If they have a certain level of symptoms, symptom severity, then we will prescribe them hormone therapy and get them started to see how they feel after starting hormone therapy

Maintain adequate hydration, especially during gastrointestinal symptoms, follow gradual dose titration as prescribed, have baseline kidney function testing before starting treatment, and undergo regular monitoring every 3-6 months

You can also suggest general strategies to protect muscle: light resistance training, increased protein intake, or even asking their prescriber for a nutrition referral

For example, I understand you want the best outcomes

Why retatrutide causes fatigue in the first place Understanding the root cause makes fixing the problem possible