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The practical recommendation is the same regardless of starting weight: follow the standard titration schedule, adjust based on tolerance, and let your response guide the maintenance dose
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Once you reach the 28-day mark or the BUD (whichever comes first), dispose of the vial according to local sharps disposal guidelines, even if there is liquid left inside
Dixit AA, Bateman BT, Hawn MT, Odden MC, Sun EC
