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Common microdosing methods Some patients adjust doses by counting the audible clicks on injection pens such as Ozempic or Wegovy, allowing for smaller dose changes than officially prescribed

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Practical checklist (simple, scalable): Protein plan + resistance training from day 1 (protect lean mass) Dietitian touchpoint early for patients with poor appetite/food aversions Consider targeted labs in higher-risk patients (baseline + 36 months): vitamin D, ferritin/iron indices, B12 ( thiamine if vomiting/very low intake), plus others as clinically indicated Treat deficiencies proactivelydont wait for fatigue, hair loss, cramps, neuropathy, or plateau frustration Question for colleagues: Do you have a standard nutrition/lab monitoring protocol for GLP-1 patients or do you individualize completely