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Patients should be counseled about gastrointestinal side effects and the importance of gradual dose titration

Self-monitoring at home should include: Weight tracking : Weekly weigh-ins at the same time of day, recorded in a diary or app, help identify trends whilst avoiding obsessive daily fluctuations Blood glucose monitoring : Patients with diabetes should test as advised by their healthcare team, typically including fasting and pre-meal readings, with increased frequency during dose adjustments Symptom diary : Recording side effects, appetite changes, and general wellbeing helps identify patterns and informs clinical discussions Dietary and activity logs : Tracking food intake and physical activity provides context for weight and glucose changes Clinical monitoring typically follows this schedule: 46 weeks : Initial review to assess tolerability, side effects, and early response