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compounding protocols generally follow similar guidance Injection site: subcutaneous abdominal fat or thigh Intranasal spray: 1 to 2 mg per dose (typically 1 to 2 sprays) Faster onset, often 20 to 45 minutes Effects typically 3 to 5 hours Preferred by patients who don't want needles or who want quicker onset Max frequency similar to subcutaneous Starting dose

Cardiologists involved in obesity research have raised particular concern about sympathomimetic-GLP-1 combinations in patients with hypertension, arrhythmia history, or coronary artery disease

Neurogastroenterol Motil 20(6):649659 Nslund E, Skogar S, Efendic S, Hellstrm PM (2002) Glucagon-like peptide-1 analogue LY315902: effect on intestinal motility and release of insulin and somatostatin

This allows the provider to determine the best medication and titration plan for you