Starting Your Mounjaro Journey: What Dose Do You Begin With?

Introduction

Embarking on a weight loss journey can feel like navigating uncharted territory, often filled with questions about the most effective and safest paths to a healthier lifestyle. Many individuals seeking meaningful change find themselves exploring advanced solutions, including prescription medications designed to support significant weight management. Among these, Mounjaro (tirzepatide) has emerged as a topic of considerable interest, with its unique mechanism of action offering promising results. However, a common and crucial question arises: what dose of Mounjaro do you start on? Understanding the initial steps and the subsequent progression of this medication is fundamental to achieving sustainable results safely and effectively.

Our aim with this comprehensive guide is to demystify the Mounjaro dosing schedule, providing clarity on why a specific starting dose is recommended and how the treatment plan typically unfolds. We will delve into the science behind this approach, exploring how your body adapts to the medication and the importance of a gradual increase in dosage. This journey is not just about the medication itself, but about integrating it into a holistic strategy for well-being. At TrimRx, our journey began with a shared vision to help individuals embrace healthier lifestyles by merging cutting-edge telehealth innovations with effective weight loss solutions. Our platform is a user-friendly and supportive space where individuals receive personalized, medically supervised care—all designed to make sustainable weight loss attainable and tailored to the individual. We believe that sustainable weight loss should be achieved through science, empathy, and a transparent approach.

By the end of this article, you will have a clear understanding of the initial dose, the titration process, and the vital role of medical guidance throughout your treatment. We will also explore practical considerations for managing the medication, potential side effects, and how TrimRx supports you every step of the way with our personalized programs and expert care. Let’s explore the strategic approach to beginning Mounjaro and how it contributes to a successful weight loss transformation.

The Foundation of Mounjaro Treatment: Understanding Tirzepatide

To truly appreciate the dosing strategy for Mounjaro, it is essential to understand what this medication is and how it functions within the body. Mounjaro, with its active ingredient tirzepatide, represents a significant advancement in the field of metabolic health. It is an FDA-approved prescription medication primarily used to improve blood sugar control in adults with type 2 diabetes. However, its remarkable efficacy in promoting weight loss has led to significant interest in its role in comprehensive weight management strategies. It’s important to note that while Mounjaro is approved for type 2 diabetes, Zepbound®, which contains the same active ingredient, tirzepatide, is specifically FDA-approved for chronic weight management.

How Tirzepatide Works: A Dual-Action Approach

Tirzepatide is a novel agent because it acts as a dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist. This dual action sets it apart from other GLP-1 receptor agonists like semaglutide. Both GIP and GLP-1 are natural hormones (incretins) that play crucial roles in regulating blood sugar and appetite.

• GLP-1 Receptor Agonism: Similar to other medications in its class, tirzepatide stimulates GLP-1 receptors, which leads to:
  • Increased Insulin Secretion: When blood sugar levels are high, GLP-1 enhances the release of insulin from the pancreas, helping to lower blood glucose.
  • Decreased Glucagon Secretion: It reduces the release of glucagon, a hormone that raises blood sugar, further contributing to glucose control.
  • Slowed Gastric Emptying: This helps you feel fuller for longer, reduces post-meal blood sugar spikes, and contributes to a reduced overall caloric intake.
  • Appetite Suppression: GLP-1 agonists directly impact hunger and satiety centers in the brain, leading to reduced food cravings and a decrease in appetite.
• GIP Receptor Agonism: The addition of GIP receptor agonism is where tirzepatide offers an enhanced effect. GIP also contributes to insulin secretion and plays a role in energy metabolism and fat storage. By activating both GIP and GLP-1 pathways, tirzepatide provides a more comprehensive approach to metabolic regulation, leading to synergistic effects on blood sugar control and weight reduction. This dual action is believed to contribute to the robust weight loss observed in clinical studies.

The combined impact of these mechanisms means that Mounjaro can significantly improve glycemic control and also support substantial weight loss by modulating appetite, enhancing satiety, and influencing how the body processes energy. It’s a sophisticated tool that, when used correctly under medical supervision, can be transformative for many individuals striving for better health outcomes.

What Dose of Mounjaro Do You Start On? The Critical First Step

Understanding what dose of Mounjaro do you start on is the cornerstone of a safe and effective treatment plan. The initial dosage is deliberately low to allow your body to gradually adjust to the medication, minimizing potential side effects and preparing you for a successful journey towards your health goals.

The Standard Initial Dose

For virtually every individual beginning Mounjaro treatment, the starting dose is 2.5 milligrams (mg) once weekly. This dose is specifically designed for treatment initiation and is not primarily intended for achieving immediate glycemic control or significant weight loss in itself. Its main purpose is to introduce the active ingredient, tirzepatide, to your system in a gentle manner.

Duration of the Initial Dose

You will typically remain on the 2.5 mg dose for the first four weeks. This one-month period is crucial. It gives your body ample time to acclimate to the presence of tirzepatide, allowing your digestive system and other bodily functions to adapt without being overwhelmed. During this phase, you might start to notice subtle changes in your appetite or how quickly you feel full, but the primary focus is on establishing tolerability.

Why a Low Starting Dose is Essential

The decision to begin with a low dose is rooted deeply in pharmacological principles and clinical experience. There are several compelling reasons why this cautious approach is universally recommended by healthcare providers:

• Minimizing Side Effects: The most common side effects associated with Mounjaro, particularly gastrointestinal issues like nausea, vomiting, diarrhea, and constipation, are more likely to occur or be more severe when starting at a higher dose or increasing the dose too rapidly. By beginning with 2.5 mg, the body has a chance to build tolerance, making the transition to higher, more therapeutic doses much smoother.
• Body Acclimation: Your body’s systems, especially your digestive tract, need time to adapt to the effects of tirzepatide on gastric emptying and incretin hormones. A slow introduction helps prevent your system from being shocked, reducing discomfort.
• Assessing Individual Response: Every individual’s response to medication is unique. Starting at a lower dose allows your healthcare provider to monitor how your body reacts to Mounjaro. This initial phase provides valuable insights into your personal tolerability, which guides subsequent dosage adjustments.
• Paving the Way for Sustainable Progress: A positive initial experience, free from severe side effects, increases the likelihood of adherence to the treatment plan. This foundational period helps build confidence and establishes a sustainable pathway for long-term weight management.

The Importance of Medical Supervision

Administering Mounjaro, or any GLP-1 medication, requires careful medical supervision. While our platform is a user-friendly and supportive space, designed to empower individuals with personalized, medically supervised care, it’s vital to remember that TrimRx partners with FDA-registered and inspected pharmacies for the shipping of weight loss medications and does not provide actual medical supervision. Your personalized treatment plan, including your starting dose and subsequent adjustments, will always be determined by a qualified healthcare professional. This ensures that the medication is appropriate for your health profile, aligns with your specific needs, and is managed safely.

Ready to understand how a personalized plan could work for you? Take our free assessment quiz to see if you qualify for our prescription weight loss medications and receive a tailored treatment path.

The Mounjaro Titration Schedule: A Journey of Gradual Progress

Once you have successfully completed the initial four weeks on the 2.5 mg starting dose, the next phase of your Mounjaro journey typically involves a process called titration. Titration refers to the gradual increase of medication dosage over time. This methodical approach is critical for optimizing the medication’s effectiveness while continuing to manage and minimize potential side effects.

Step-by-Step Dose Increases

The Mounjaro dosing schedule is designed with careful increments. After the initial four weeks on 2.5 mg, if you are tolerating the medication well and your healthcare provider determines it’s appropriate, your dose will typically be increased to 5 mg once weekly. This 5 mg dose is considered the first maintenance dose for many individuals and you will also stay on this dose for at least four weeks.

The progression typically continues in 2.5 mg increments, with each new dose maintained for a minimum of four weeks. This means the typical titration path can look like this:

• Weeks 1-4: 2.5 mg once weekly
• Weeks 5-8: 5 mg once weekly
• Weeks 9-12: 7.5 mg once weekly
• Weeks 13-16: 10 mg once weekly
• Weeks 17-20: 12.5 mg once weekly
• Weeks 21 onwards: 15 mg once weekly (the maximum recommended dose)

It’s important to understand that this is a general guideline. The decision to increase a dose is always made in consultation with your healthcare provider, taking into account your individual response, tolerability, and progress towards your health goals.

The Rationale Behind Titration: Tolerability and Sustained Results

The titration process is not merely a formality; it is a scientifically backed strategy that offers numerous benefits:

• Enhanced Tolerability: As mentioned, gradual dose increases allow your body more time to adjust, which can significantly reduce the incidence and severity of gastrointestinal side effects. This measured approach makes the treatment more comfortable and manageable in the long run.
• Optimizing Effectiveness: While lower doses initiate the process, higher doses of tirzepatide are generally associated with greater efficacy in terms of blood sugar control and weight loss. Titration helps find the lowest effective dose that yields the desired results for you, preventing unnecessary exposure to higher doses if a lower one is sufficient.
• Sustained Engagement: A well-managed titration process, where discomfort is minimized, encourages greater adherence to the treatment plan. When individuals feel supported and experience positive changes without undue side effects, they are more likely to stay engaged and achieve long-term success.

Individualized Approach: Not Everyone Needs the Maximum Dose

One of the cornerstones of effective weight management is personalization. At TrimRx, our approach is rooted in compassionate care that respects every individual’s unique journey. This principle extends directly to the Mounjaro dosing schedule. Not every patient will need to reach the maximum 15 mg dose to achieve their desired weight loss or glycemic control.

Some individuals may find that a lower dose, such as 5 mg or 10 mg, provides optimal benefits with minimal side effects, and they may be able to maintain their progress effectively at these levels. Your healthcare provider will assess your progress regularly, considering factors such as:

• Weight Loss Progress: Are you achieving a healthy rate of weight loss?
• Appetite Suppression: Is your appetite adequately controlled, and are cravings reduced?
• Side Effect Profile: Are you experiencing manageable side effects, or are they persistent and bothersome?
• Overall Health Goals: How is your blood sugar control, and are other health markers improving?

This ongoing dialogue ensures that your treatment is continually optimized for your specific needs, fostering an empathetic, supportive, and results-oriented partnership. We are committed to transparent service, highlighting that our approach remains consistent regardless of dosage changes, always prioritizing your safety and well-being.

Navigating Your Treatment: Key Considerations for Mounjaro Users

Beyond understanding what dose of Mounjaro do you start on and how it progresses, there are several practical aspects of using this medication that are essential for a successful experience. Our goal at TrimRx is to provide you with comprehensive support and information, ensuring you feel confident and informed at every stage of your journey.

Managing Potential Side Effects

As with any medication, Mounjaro can cause side effects. These are often more pronounced when you first start the medication or when your dose is increased. The most common side effects are gastrointestinal and may include:

• Nausea
• Diarrhea
• Reduced appetite
• Vomiting
• Constipation
• Indigestion (sometimes leading to “sulfur burps”)
• Stomach pain

Fortunately, these effects are usually mild to moderate and tend to diminish over time as your body adjusts. To manage them, consider these strategies:

• Eat Smaller, More Frequent Meals: This can prevent your stomach from feeling overly full.
• Prioritize Plain, Bland Foods: Opt for foods like crackers, toast, or lean proteins, especially during periods of increased side effects.
• Avoid Fatty, Greasy, or Spicy Foods: These can exacerbate gastrointestinal discomfort.
• Stay Hydrated: Sip water or clear fluids throughout the day.
• Eat Until Satiated, Not Stuffed: Listen to your body’s fullness cues.

If side effects are severe or persistent, it’s crucial to consult your healthcare provider. They may recommend staying at a lower dose for a longer period or exploring other options within your personalized treatment plan.

Missed Doses and Scheduling

Mounjaro is typically injected once weekly. Maintaining a consistent schedule is important for optimal effectiveness.

• If it’s been 4 days or less since your missed dose: Take the missed dose as soon as you remember. Then, resume your regular weekly schedule for your next dose.
• If it’s been more than 4 days since your missed dose: Skip the missed dose and simply take your next scheduled dose on your usual day. Do not take a double dose to compensate, as this can increase the risk of side effects without enhancing effectiveness.

Always ensure there are at least 3 days (72 hours) between any two Mounjaro doses. If you are ever unsure, contacting your healthcare provider is the best course of action. Utilizing a medication reminder app or setting a weekly alarm can be incredibly helpful in maintaining your schedule.

Proper Injection Techniques and Site Rotation

Mounjaro comes in a pre-filled, single-dose pen for once-weekly injections under the skin. Your healthcare provider or pharmacist will provide detailed instructions on how to administer the injection. Key points include:

• Injection Sites: The recommended sites are the abdomen (at least 2 inches from the navel) or the front of your thigh. A caregiver can also administer the injection into the back of your upper arm.
• Rotate Sites: It’s essential to choose a different injection site each week. While you can use the same general body area (e.g., the abdomen), avoid injecting into the exact same spot. This helps prevent irritation, lumps, or changes in skin tissue and ensures consistent absorption of the medication.
• Preparation: Always clean the injection site with an alcohol wipe and ensure the skin is dry.
• Disposal: Dispose of used pens in a sharps disposal container immediately after use.

Storage and Handling

Proper storage maintains the medication’s efficacy and safety:

• Refrigeration: Mounjaro pens should be stored in the refrigerator between 2°C and 8°C (36°F and 46°F) until the expiry date printed on the label.
• Room Temperature: If needed, a pen can be stored unrefrigerated (not above 30°C or 86°F and away from direct sunlight) for up to 30 days. After 30 days, or if the expiry date has passed, the pen must be discarded, even if it has not been used.
• Freezing: Never freeze Mounjaro. If the medicine has been frozen, do not use it, even if it thaws.
• Damage: Do not use a pen if it appears broken or damaged in any way.

Switching Medications and Other Considerations

• Switching from Other GLP-1s (e.g., Wegovy): If you are considering switching from another GLP-1 medication like Wegovy to Mounjaro, it’s a decision that must be made with your doctor. Typically, there will be a washout period (e.g., 5 weeks off Wegovy) before starting Mounjaro at the lowest 2.5 mg dose to ensure safety and proper transition.
• Interactions with Other Medications:
  • Birth Control Pills: Mounjaro can affect how your body absorbs oral medications, including birth control pills. It is recommended to use a backup birth control method (like condoms) for at least four weeks after starting Mounjaro and for four weeks after any dose increases.
  • Insulin: If you are also taking insulin, your doctor may need to carefully adjust your insulin dosage to prevent low blood sugar. Always inject Mounjaro and insulin separately, using different injection sites.

TrimRx offers a range of prescription weight loss medications, including Mounjaro®, Zepbound®, Ozempic®, Wegovy®, Compounded Semaglutide, Oral Semaglutide, Compounded Tirzepatide, and Oral Tirzepatide. To find out which option is best suited for you and to get personalized guidance, we encourage you to take our free assessment quiz. Our comprehensive service includes doctor consultations, medication, lab work, unlimited support, and shipping with no hidden fees, all provided through our partnerships with FDA-registered and inspected pharmacies.

Achieving Optimal Results: Beyond the Dosage

While understanding what dose of Mounjaro do you start on and following the titration schedule are critical, the medication is most effective when integrated into a broader, holistic approach to health. At TrimRx, we emphasize that medication is a powerful tool, but true, sustainable weight loss is a collaborative effort between advanced medical science and significant lifestyle adjustments.

The Indispensable Role of Lifestyle Changes

Mounjaro, by modulating appetite and satiety, creates an environment conducive to adopting healthier habits. However, it does not replace the need for them. For optimal and lasting results, it is imperative to combine your medication with:

• Balanced Nutrition: Focus on a diet rich in whole foods, lean proteins, fiber, and healthy fats. This helps to maximize satiety, support metabolic health, and provide essential nutrients.
• Regular Physical Activity: Incorporate a mix of cardiovascular exercise and strength training. Physical activity not only burns calories but also improves insulin sensitivity, boosts mood, and contributes to overall well-being.
• Adequate Sleep: Prioritizing 7-9 hours of quality sleep per night can significantly impact hormone regulation (including those related to hunger) and energy levels, making it easier to stick to healthy choices.
• Stress Management: Chronic stress can lead to weight gain and hinder progress. Techniques such as mindfulness, meditation, yoga, or spending time in nature can be beneficial.

When these lifestyle changes are woven into your daily routine, they amplify the effects of Mounjaro, leading to more profound and sustainable transformations.

Understanding Long-Term Maintenance Doses

Many individuals will eventually reach a “maintenance dose”—a dosage level that effectively helps them maintain their achieved weight loss without further escalation. Common maintenance doses typically range from 5 mg, 10 mg, or 15 mg once weekly. The specific dose you settle on will be highly individualized, depending on:

• Your Weight Loss Goals: Have you reached your target weight, or do you still have more to lose?
• Appetite and Satiety Control: Is your current dose effectively managing your hunger and cravings?
• Tolerability: Are you comfortable with your current dose, or do higher doses lead to undesirable side effects?

Your healthcare provider will work closely with you to determine the optimal long-term dose, ensuring it continues to support your health journey effectively and safely.

Effectiveness Across Different Doses

Clinical studies have shown that higher doses of tirzepatide generally lead to greater weight loss outcomes, although even lower doses can be significantly effective. For instance, in a prominent clinical trial for obesity, patients treated with the highest dose (15 mg) experienced an average weight loss of approximately 22.5% of their initial body weight over 72 weeks. Those on 10 mg lost around 21.4%, and those on 5 mg lost about 16%. These statistics underscore that while higher doses may offer more significant results, even the lower therapeutic doses provide substantial benefits. This reinforces the importance of titration and finding the right balance for each individual.

TrimRx’s Comprehensive Support System

At TrimRx, we are dedicated to providing a supportive and innovative environment for your weight loss journey. Our comprehensive service is designed to cover every aspect, ensuring you have the tools and guidance needed for success:

• Doctor Consultations: Access to qualified healthcare professionals who provide personalized medical supervision and treatment plans.
• Medication Access: We provide FDA-approved branded medications like Mounjaro®, Zepbound®, Ozempic®, and Wegovy®, as well as quality compounded alternatives such as Compounded Semaglutide, Oral Semaglutide, Compounded Tirzepatide, and Oral Tirzepatide. It is important to note that while branded medications are FDA-approved, compounded medications are not FDA-approved. All medications are sourced through our partnerships with FDA-registered and inspected pharmacies.
• Lab Work: Essential lab tests to monitor your health and ensure the safety and effectiveness of your treatment.
• Unlimited Support: Ongoing access to our support team for any questions or concerns you may have throughout your journey.
• Convenient Shipping: Your medication is discreetly delivered right to your door, with no hidden fees.

We believe in empowering you with choice and flexibility. For those seeking a deeper dive into personalized prescription solutions, our free assessment quiz is your starting point. It helps us understand your unique health profile and determine your eligibility for our range of prescription weight loss medications.

Furthermore, we offer quick-access supplements that do not require a quiz and can provide immediate support for your overall wellness during your weight loss journey. Our GLP-1 Daily Support is designed to complement your efforts, and our Weight Loss Boost offers additional aid. These can be purchased directly to enhance your journey with TrimRx.

TrimRx’s Commitment to Your Personalized Weight Loss Journey

At TrimRx, our journey began with a shared vision: to help individuals embrace healthier lifestyles by merging cutting-edge telehealth innovations with effective weight loss solutions. We understand that effective weight management extends far beyond simply knowing what dose of Mounjaro do you start on or any other medication. It requires a holistic, empathetic, and scientifically grounded approach that adapts to your individual needs.

Our platform stands as a testament to this vision—a user-friendly and supportive space where individuals receive personalized, medically supervised care, all designed to make sustainable weight loss attainable and truly tailored to you. We firmly believe that sustainable weight loss should be achieved through science, empathy, and a transparent approach, guiding you every step of the way.

Our brand personality is built on being empathetic, innovative, trustworthy, supportive, results-oriented, and profoundly personalized. We offer compassionate care that respects every individual’s unique journey, seamlessly combining advanced medical science with modern technology. This means that from your initial consultation to ongoing support, you experience a partnership rooted in understanding and expertise.

We are committed to transparent service, highlighting that our approach remains consistent regardless of dosage changes. Your safety is paramount, which is why we work exclusively with FDA-registered and inspected pharmacies for the shipping of all our weight loss medications. It is important for clarity that while branded medications like Mounjaro® and Zepbound® are FDA-approved, compounded medications, such as Compounded Tirzepatide, are prepared by these FDA-registered and inspected pharmacies and are not themselves FDA-approved. This distinction ensures full compliance and peace of mind.

Our comprehensive product offerings reflect this commitment to individualized care:

• Personalized Weight Loss Program (Requires Quiz):
  • Branded, FDA-Approved Medications: Ozempic®, Mounjaro®, Zepbound®, Wegovy®
  • Compounded Formulations: Compounded Semaglutide, Oral Semaglutide, Compounded Tirzepatide, Oral Tirzepatide
  • To explore these options and see if you qualify for a personalized treatment plan, we encourage you to take our free assessment quiz. This crucial first step helps us tailor a program specifically for your health needs and goals.
• Quick-Access Supplements (No Quiz Required):
  • GLP-1 Daily Support: Designed to support overall wellness during your weight loss journey.
  • Weight Loss Boost: An immediate support supplement to further aid your efforts.

We ensure that our comprehensive service includes doctor consultations, necessary lab work, your prescribed medication, unlimited support throughout your journey, and convenient shipping, all without any hidden fees. This reflects our dedication to making safe, effective, and personalized weight loss solutions accessible and straightforward for adults aged 18 to 74, aligning with our commitment to transparency and patient-focused care. We believe that by providing clear pathways, robust support, and access to clinically proven solutions, we can empower you to achieve profound and lasting health transformations.

Conclusion

Navigating the landscape of modern weight loss solutions begins with informed choices, and understanding what dose of Mounjaro do you start on is a pivotal first step. We’ve explored how the journey with Mounjaro typically begins with a conservative 2.5 mg dose, maintained for four weeks, to gently introduce your body to the medication and minimize side effects. This initial phase sets the stage for a carefully titrated progression, where doses are gradually increased in 2.5 mg increments, typically every four weeks, under the watchful eye of a healthcare professional. This methodical approach ensures optimal tolerability and maximizes the medication’s effectiveness, leading to sustainable and significant results.

We’ve also highlighted the critical role of lifestyle changes—embracing balanced nutrition, regular physical activity, adequate sleep, and stress management—as essential partners to medication for achieving truly lasting health transformations. The journey is personalized, and not everyone will need to reach the maximum dose; your ideal maintenance dose will be uniquely determined by your individual response and goals.

At TrimRx, our commitment is to provide you with a personalized, medically supervised weight loss solution that integrates cutting-edge innovations with compassionate care. We stand by our values of science, empathy, and transparency, ensuring that you receive comprehensive support from doctor consultations and essential lab work to medication access and unlimited ongoing guidance. Our partnership with FDA-registered and inspected pharmacies guarantees the quality and safety of the medications you receive, whether it’s a branded, FDA-approved option like Mounjaro® or a compounded alternative like Compounded Tirzepatide.

Your path to a healthier future is unique, and we are here to support you at every turn. If you’re ready to explore how a personalized weight loss program could transform your life, we invite you to take our free assessment quiz today. Discover your eligibility for our prescription weight loss medications and embark on a journey tailored just for you. For immediate support, consider our GLP-1 Daily Support or Weight Loss Boost supplements. Together, we can build a foundation for a healthier, more vibrant you.

Frequently Asked Questions

What is the very first dose of Mounjaro that everyone starts on?

The very first dose of Mounjaro for nearly all individuals is 2.5 mg injected once weekly. This initial dose is designed for treatment initiation, allowing your body to acclimate to the medication and minimize potential side effects before progressing to higher therapeutic doses.

How long do I stay on the starting dose of Mounjaro before increasing it?

You typically stay on the 2.5 mg starting dose of Mounjaro for four weeks. This period is crucial for your body to adjust to the medication. After these initial four weeks, your healthcare provider will assess your tolerability and progress before considering an increase to the next dose, usually 5 mg.

Can I skip the starting dose and begin Mounjaro at a higher dose like 5mg for quicker results?

No, it is strongly advised against skipping the starting dose or beginning Mounjaro at a higher dose than prescribed. The initial 2.5 mg dose is fundamental for minimizing gastrointestinal side effects and allowing your body to adapt safely. Starting at a higher dose can lead to more severe side effects without necessarily guaranteeing quicker or more significant long-term weight loss. Always follow your healthcare provider’s dosing instructions for a safe and effective treatment path.

What should I do if I experience side effects when my Mounjaro dose is increased?

It’s common to experience some gastrointestinal side effects like nausea or vomiting when your Mounjaro dose is increased, as your body adjusts. These often subside over time. Strategies like eating smaller, bland meals, avoiding fatty foods, and staying hydrated can help. If side effects are severe or persistent, it’s essential to contact your healthcare provider. They may recommend staying on a lower dose for an extended period or adjusting your treatment plan to ensure your comfort and safety.