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Referral to endocrinology, cardiology, or lipid specialists may be warranted for complex cases involving multiple cardiovascular risk factors, familial hypercholesterolemia, severe hypertriglyceridemia (500 mg/dL), or inadequate response to initial therapy
Laugero KD, Tryon M, Mack C, et al
But it offers significant advantages: lower cost, access to dose customization, and the ability to use compounded medications that are not available in pre-filled pen format
Most people start at a low dose and then gradually increase it to give their body time to adjust and to reduce the risk of side effects like nausea or fatigue
Diam Relat Mater (2025) 156:112421
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