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Focus areas: Nutritional counseling may be beneficial at this dose, as self-managing adequate nutrition becomes challenging with severe appetite suppression Protein targets of 1.6 grams per kilogram or higher become critical Consider tracking all food intake for at least two weeks to identify exactly how much you are consuming Regular bloodwork every 3 months to monitor for developing deficiencies If fatigue is severely impacting quality of life, discuss dose reduction with your provider Not everyone needs 15 mg