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When to Reassess Your Progress Certain situations warrant a conversation with your healthcare provider: No appetite changes by week 8 Weight gain despite following recommendations Severe side effects that dont improve with dose stabilization Less than 3% weight loss by month 3 Your provider can adjust your titration schedule, address side effects, or evaluate whether a different approach might work better for your situation

Do not freeze this medicine

However, this has not translated into increased cardiovascular risk

Nez is the son of Fabian Nez, then California Assembly Speaker of the House and a close friend and staunch political ally of then governor Schwarzenegger