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Most clinical benefit emerges over months two through four as doses increase and the body fully adapts to the medication's appetite-suppressing effects

The moment a patient hits a dose that causes troublesome nausea or loss of appetite beyond whats manageable, Nooms clinician-designed protocol holds at that dose longer, or even dials back to the prior dose until symptoms subside

The process typically begins with a comprehensive assessment by a healthcare provider, which may be a primary care physician, endocrinologist, or obesity medicine specialist

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