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Timing within the week matters less than consistency

Dose ladder: start at the low end for the first 15 days

If you develop signs of high cortisol like central weight gain despite overall weight loss, morning headaches, or mood disturbances, testing cortisol through saliva or 24-hour urine collection may be appropriate

Your clinician may suggest ways to track your progress, which may include measuring your waist circumference along with weight changes, as well as possible body composition testing if available

This commitment to patient education not only alleviates concerns but also empowers individuals to take charge of their health and wellness journey