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For Members , below, I will walk through the labs and tests you should consider before starting, what metabolic changes to expect in the first 8-12 weeks (and why they matter more than the scale), how to structure your protein and training to protect muscle while everyone else is losing it, when dose escalation actually makes sense, the monitoring schedule that separates success from failure, and the warning signs that tell you when to adjust
Major revisions may be necessary with significant additional loss of weight as the skins elasticity is much poorer after major weight loss- especially in more mature patients
Step two addresses medication continuity and timing
Individuals may respond differently, and the suggested results presume appropriate nutrition and training plan.
These are typically mild and decrease over time