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What we aim to avoid from the start: Over-escalating dose when symptoms are telling you to slow down Scale-only success that hides muscle loss and nutritional under-fueling Treating side effects like a rite of passage instead of a clinical signal Starting medication without a maintenance strategy (where most regain happens) Myth vs Fact: the misconceptions that cause the most trouble Myth 1: If Im not losing fast, the dose is too low. Fact: Faster is not always better

This slow titration helps minimise side effects

For example, a high-fat diet increased the expression of the T1R3 taste receptor in rats, an effect that was reversed by chronic exendin-4 treatment