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Rosen M.D., Chester County Rheumatology PC Thanks to all those wonderful people in the NORM Network who respond to emails, offering their advice, experience, time, and support

Here's what to expect: Typical Semaglutide Titration: Weeks 1-4: 0.25 mg weekly (lowest dose) Weeks 5-8: 0.5 mg weekly Weeks 9-12: 1.0 mg weekly Weeks 13-16: 1.7 mg weekly Week 17+: 2.4 mg weekly (maintenance) Typical Tirzepatide Titration: Weeks 1-4: 2.5 mg weekly Weeks 5-8: 5 mg weekly Weeks 9-12: 7.5 mg weekly Weeks 13-16: 10 mg weekly Weeks 17-20: 12.5 mg weekly Week 21+: 15 mg weekly (maintenance) You'll have a nurse check-in at each dose adjustment to monitor tolerability, appetite suppression, weight change, and side effects

The medicine is typically taken once daily, usually in the morning before food, and reaches peak effect after several days of consistent use

Experts don't know if taking glutathione is safe during pregnancy and breastfeeding