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Mid-cycle reviews and follow-up labs track your response, body composition changes (often using DEXA or InBody where available) and metabolic markers

Kolodziejczyk, A

This imbalance can cause brain fog, low sex drive, and slow metabolism

The standard approach often begins with a low dose of semaglutide, commonly 0.25 mg weekly for the first four weeks, which serves primarily as an initiation dose to allow physiological adaptation rather than providing significant therapeutic effect

Note that people with alcohol dependence may need prescribed thiamine rather than over-the-counter supplements and should seek medical review