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Further blood testing is scheduled for early January

The variability in WL outcomes post-surgery is influenced by factors such as baseline weight and surgical technique, with reductions typically ranging from 20 to 30% of pre-surgical weight [8]

10.1016/j.ijpharm.2008.10.020

So patients who advance too quickly to a higher dose typically have more severe side effects and may not be able to tolerate the medication. There is no secret extra dose The idea of a golden dose may be tempting for patients, but safety must come first