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Many patients remain on the 2.5 mg or 5 mg starting doses, which are primarily for tolerability rather than therapeutic effect, and do not reach the 10-15 mg weekly doses where maximal efficacy typically occurs
Once inside cells, intracellular thioesterases rapidly hydrolyze the acetyl group, releasing biologically active reduced glutathione
However, concurrent use requires clinical monitoring for overlapping metabolic effects such as hyperglycaemia, appetite changes, and fluid retention
But food isnt the only important variable in weight management
Cycle appropriately
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