Navigating Your Zepbound Journey: When Should I Increase Zepbound Dose for Optimal Results?

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49 min
Published on
December 8, 2025
Updated on
December 8, 2025
Navigating Your Zepbound Journey: When Should I Increase Zepbound Dose for Optimal Results?

Introduction

Embarking on a weight management journey can often feel like navigating a complex maze, with many paths and decisions to consider. For many, integrating a prescription medication like Zepbound into their plan marks a significant step towards achieving their health goals. Zepbound, with its active ingredient tirzepatide, represents a powerful tool in modern weight management and the treatment of obstructive sleep apnea in adults with obesity. However, the true efficacy of such a sophisticated medication isn’t just about starting it; it’s about optimizing its use through a precise, personalized approach to dosing.

At TrimRx, our journey began with a shared vision: to help individuals embrace healthier lifestyles by merging cutting-edge telehealth innovations with effective, medically supervised weight loss solutions. We understand that sustainable weight loss is not a one-size-fits-all endeavor, but rather a deeply personal one that demands science, empathy, and a transparent approach. Our platform is meticulously designed to be a user-friendly and supportive space where individuals receive personalized care tailored to their unique needs.

This comprehensive guide is crafted to illuminate the critical considerations surrounding Zepbound dosage adjustments, specifically addressing the question: when should I increase Zepbound dose? We aim to demystify the process of dose escalation, explaining the rationale behind gradual increases, the signs that may indicate a need for adjustment, and the importance of professional medical supervision. By the end of this post, you will gain a deeper understanding of how Zepbound’s dosage works, what to expect, and how our commitment to personalized care at TrimRx empowers you on your path to sustainable health. We will explore the typical dosing schedule, the role of individual response, and how a holistic approach, including lifestyle modifications and supportive supplements, contributes to overall success.

Understanding Zepbound and Its Mechanism of Action

Zepbound, containing tirzepatide, is a prescription medication that has been granted FDA approval for chronic weight management in adults living with obesity, or those who are overweight with at least one weight-related condition such as high blood pressure, type 2 diabetes, or high cholesterol. It is also approved for treating moderate to severe obstructive sleep apnea (OSA) in adults with obesity. This medication belongs to a class of drugs known as dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonists.

The brilliance of tirzepatide lies in its dual-agonist action. It mimics two natural hormones in the body: GIP and GLP-1. Both of these hormones play crucial roles in regulating blood sugar, appetite, and metabolism. By activating receptors for both GIP and GLP-1, tirzepatide achieves a multifaceted effect that supports weight loss and improves metabolic health:

  • Appetite Regulation: Tirzepatide helps you feel fuller faster and for longer periods, reducing overall calorie intake. This occurs through its influence on the brain’s appetite centers and by slowing gastric emptying.
  • Blood Sugar Control: While not a primary indication for Zepbound, the GIP and GLP-1 pathways are critical for insulin secretion and glucose regulation. This can have beneficial effects on metabolic parameters often associated with weight-related conditions.
  • Reduced Food Cravings: By impacting signals in the brain, Zepbound can help diminish cravings for certain foods, making adherence to a reduced-calorie diet more manageable.

Our approach at TrimRx emphasizes the importance of understanding the science behind your treatment. We believe that empowering you with knowledge about how medications like Zepbound work fosters a more engaged and successful weight loss journey. This foundation of understanding is crucial as we delve into the nuances of dosage and personalized care.

The Role of Personalized Medicine in Weight Management

Every individual’s body responds to medication differently, a principle that forms the cornerstone of personalized medicine. Factors such as genetics, metabolism, existing health conditions, and even lifestyle choices can influence how effective a medication like Zepbound will be and how well it is tolerated. This is why a standardized, one-size-fits-all dosage rarely yields optimal results for everyone.

At TrimRx, we champion a truly personalized approach. We recognize that your weight loss journey is unique, and your treatment plan should reflect that. Our medically supervised programs are designed to assess these individual factors, ensuring that your Zepbound dosage and overall plan are specifically tailored to your body’s changing needs and responses. This commitment to individualized care is not just a philosophy; it’s woven into the fabric of our services, from the initial consultation to ongoing support. If you’re curious about how our personalized approach can benefit you, we invite you to take our free assessment quiz to explore your eligibility for a customized treatment plan.

The Zepbound Dosing Schedule: A Step-by-Step Approach

The journey with Zepbound typically begins with a carefully structured dosing schedule, designed to gradually introduce the medication to your system. This methodical approach is crucial for minimizing potential side effects and allowing your body to adapt. Understanding this progressive titration is key to knowing when should I increase Zepbound dose.

Starting Your Zepbound Treatment: The Initial Dose

For adults initiating Zepbound, the recommended starting dose is 2.5 mg injected once per week. This low dose serves as an acclimatization period, allowing your body to become accustomed to the medication’s effects. It’s important to understand that the 2.5 mg dose is considered a starting dose and is not an approved maintenance dose for long-term weight reduction. You will typically remain on this initial dose for four weeks. During this time, your healthcare provider will monitor your response and assess any side effects.

Gradual Dose Escalation: The Rationale

After the initial four weeks on 2.5 mg, your doctor will likely increase your dose to 5 mg once per week. From there, further dose increases are made in 2.5 mg increments, typically after at least four weeks on the current dose. This means you might progress from 5 mg to 7.5 mg, then to 10 mg, 12.5 mg, and finally up to the maximum recommended dose of 15 mg, all in 2.5 mg steps every four weeks.

This gradual dose escalation serves several critical purposes:

  • Minimizing Side Effects: The most common side effects of Zepbound are gastrointestinal in nature, including nausea, diarrhea, vomiting, and constipation. By slowly increasing the dose, the body has time to adjust, which can help mitigate the severity and frequency of these side effects. Clinical studies have shown that most gastrointestinal side effects occur when doses are increased but generally decrease over time as the body adapts.
  • Optimizing Tolerability: Each person’s tolerability to medication is different. Gradual increases allow your healthcare provider to find the highest dose you can tolerate comfortably while still achieving effective results.
  • Achieving the Most Effective Dose: The goal is to reach a maintenance dose that provides the desired therapeutic effect for weight reduction and long-term maintenance (typically 5 mg, 10 mg, or 15 mg) or for obstructive sleep apnea (10 mg or 15 mg). This individualized “sweet spot” ensures you’re receiving the full benefits of the medication.

At TrimRx, our commitment to transparent service means that our approach to your care remains consistent, regardless of dosage changes. We provide comprehensive service that includes doctor consultations, access to medication, lab work, unlimited support, and shipping, with no hidden fees. We partner exclusively with FDA-registered and inspected pharmacies for the shipping of weight loss medications to ensure safety and quality throughout your treatment journey.

When Should I Increase Zepbound Dose? Key Indicators and Considerations

The central question for many individuals on Zepbound is precisely when should I increase Zepbound dose. This decision is a crucial aspect of personalized treatment and is always made in close consultation with your healthcare provider. It’s a dynamic process that considers your response to the medication, your tolerability, and your overall health goals.

Primary Indicators for Dose Escalation

Several key indicators typically signal that a dose increase may be appropriate:

  • Lack of Efficacy at the Current Dose: If, after at least four weeks on your current Zepbound dose, you are not seeing the desired progress in weight loss or the improvement in weight-related conditions (such as blood pressure or sleep apnea symptoms), it’s a strong indicator that a higher dose might be needed. This is not about rushing the process, but rather evaluating if the current level of medication is sufficient to stimulate the metabolic changes necessary for significant results.
  • Good Tolerability with Minimal Side Effects: A crucial factor in increasing your Zepbound dose is how well you are tolerating your current dosage. If you are experiencing minimal to no bothersome side effects (like severe nausea, vomiting, or diarrhea) after four weeks, it suggests that your body has adjusted well, and you are ready for the next increment. If side effects are persistent or severe, your provider may opt to keep you on the current dose longer or explore strategies to manage side effects before escalating.

The Importance of Medical Supervision

It cannot be stressed enough that dose changes should only be made under the direct supervision of a healthcare provider. Attempting to increase your dosage too rapidly or without professional guidance can significantly boost the risk of gastrointestinal side effects, which in some cases, can lead to dehydration and even rare kidney complications.

Your healthcare provider will assess your individual response, review your symptom diary (if you keep one), and discuss your overall well-being before making any adjustments. This professional guidance ensures that dose increases are safe, effective, and align with your personalized treatment plan. Our platform at TrimRx connects you with medical professionals who are dedicated to providing compassionate care that respects every individual’s unique journey, combining advanced medical science with modern technology. Our doctors are equipped to help you navigate these dosage decisions with expertise and empathy.

Clinical Trial Insights and Individual Variability

Clinical trials for Zepbound (specifically the SURMOUNT trials) have provided valuable insights into dose efficacy:

  • The 5 mg dose demonstrated an average weight loss of approximately 15% over 72 weeks.
  • The 10 mg dose yielded about 20% body weight reduction.
  • The 15 mg dose achieved the greatest loss, up to approximately 21-22.5%, making it the most effective dose overall for weight reduction.

While these statistics highlight that higher doses generally correlate with greater weight loss, it’s vital to remember that these are averages. The “best dose” for you depends entirely on your individual response and side effect tolerance. Many individuals find significant benefit and better tolerability with intermediate doses, such as 5 mg or 7.5 mg. The goal is to find the dose that balances efficacy with tolerability, optimizing your treatment outcomes while maintaining your quality of life. Our brand is results-oriented, but equally focused on your well-being throughout the process.

If you are currently on a Zepbound regimen and believe it’s time to discuss a potential dose adjustment, or if you’re exploring whether a prescription medication like Zepbound is right for you, we encourage you to take our free online assessment. This quiz helps us understand your unique health profile and determine your eligibility for a personalized treatment plan that might include Compounded Semaglutide, Oral Semaglutide, Ozempic®, Compounded Tirzepatide, Oral Tirzepatide, Mounjaro®, Zepbound®, or Wegovy®.

Managing Side Effects During Dose Escalation

One of the most common concerns during Zepbound dose increases is the potential for side effects. As we’ve discussed, the gradual titration schedule is specifically designed to mitigate these, but it’s important to be prepared and know how to manage them if they occur. Our brand is supportive, and we want to ensure you feel empowered with the knowledge to handle your treatment journey effectively.

Common Side Effects and Their Management

The most frequently reported side effects with Zepbound are gastrointestinal (GI), including:

  • Nausea: Often described as the most common and bothersome side effect.
  • Diarrhea: Can sometimes lead to dehydration if not managed.
  • Vomiting: Similar to nausea, typically more prevalent during dose increases.
  • Constipation: Less common than diarrhea, but still reported.
  • Stomach (abdominal) pain: General discomfort or cramping.
  • Indigestion, belching, heartburn: Symptoms related to gastric upset.

Most of these GI side effects, particularly nausea, diarrhea, and vomiting, are more common when you increase your dose but generally decrease over time as your body adjusts. However, it’s crucial to address them proactively.

Here are practical tips that may help manage nausea and other GI issues:

  • Eat Smaller, More Frequent Meals: Instead of three large meals, try splitting your daily intake into four or more smaller portions. This can prevent your stomach from feeling overly full.
  • Stop Eating When You Feel Full: Listen to your body’s satiety signals. Overeating can exacerbate GI discomfort.
  • Avoid Fatty, Greasy, or Spicy Foods: These types of foods can be harder to digest and may worsen nausea. Opt for bland, easy-to-digest options.
  • Choose Bland Foods: Foods like toast, crackers, rice, plain pasta, or boiled potatoes can be gentler on your stomach.
  • Stay Hydrated: Drink plenty of fluids throughout the day, especially if you experience diarrhea or vomiting. Dehydration can lead to kidney problems, so fluid intake is vital.
  • Eat Slowly: Savor your meals and give your body time to process food.
  • Avoid Lying Down Immediately After Eating: Give your digestive system time to work before reclining.
  • Discuss with Your Doctor: If side effects are persistent or severe, always talk to your healthcare provider. They may offer additional strategies, prescribe anti-nausea medication, or adjust your dosing schedule if necessary.

Serious Side Effects to Watch For

While rare, Zepbound can cause more serious side effects that require immediate medical attention. These include:

  • Severe Stomach Problems: Report any severe stomach pain that doesn’t go away to your healthcare provider promptly.
  • Kidney Problems (Kidney Failure): As mentioned, severe dehydration from persistent diarrhea, nausea, and vomiting can impact kidney function. Ensure adequate fluid intake.
  • Thyroid C-Cell Tumors (including thyroid cancer): Zepbound carries a Boxed Warning regarding the risk of thyroid C-cell tumors. Watch for symptoms such as a lump or swelling in the neck, hoarseness, trouble swallowing, or shortness of breath. If you have these symptoms, inform your provider immediately. Zepbound is contraindicated if you or your family have a history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
  • Severe Allergic Reactions: Symptoms like rash, hives, swelling of your face, lips, tongue, or throat, or problems breathing.

At TrimRx, safety is paramount. We work exclusively with FDA-registered and inspected pharmacies for the shipping of weight loss medications, ensuring that you receive products that meet stringent quality and safety standards. While Zepbound is FDA-approved, it’s important to understand that compounded tirzepatide, while sourced from FDA-registered and inspected pharmacies, is not FDA-approved. Our focus is always on your safety and well-being, and our compassionate care reflects our dedication to your health journey.

Complementing Your Zepbound Journey with Holistic Support

While Zepbound is a powerful tool for weight management, it is most effective when integrated into a holistic approach that includes diet, exercise, and comprehensive support. At TrimRx, we believe in providing a full spectrum of solutions to support your entire wellness journey. Our programs are designed to empower you with the tools and knowledge needed for sustainable success.

The Foundation: Diet and Physical Activity

Zepbound is indicated for use in combination with a reduced-calorie diet and increased physical activity. These lifestyle modifications are not merely adjuncts; they are fundamental pillars of successful and sustainable weight loss.

  • Nutritional Guidance: Adopting a balanced, nutrient-dense diet that creates a caloric deficit is essential. This means focusing on lean proteins, whole grains, fruits, vegetables, and healthy fats while limiting processed foods, sugary drinks, and excessive saturated fats. Your healthcare provider or a nutritionist can help you create a personalized meal plan that aligns with your caloric needs and health goals.
  • Regular Physical Activity: Incorporating regular exercise, including both cardiovascular activity and strength training, offers numerous benefits beyond calorie expenditure. It improves metabolic health, builds muscle mass, enhances mood, and supports overall well-being. Aim for a combination of activities you enjoy to ensure long-term adherence.

Our personalized weight loss programs at TrimRx integrate these crucial lifestyle components, offering guidance that extends beyond medication. We believe that empowering you with the knowledge and resources to make sustainable dietary and activity changes is key to long-term success.

Supporting Your Journey with Quick-Access Supplements

Beyond prescription medications, we also offer a range of quick-access supplements designed to support your overall wellness and complement your weight management efforts. These supplements do not require a quiz for purchase, making them readily available to support you at any stage of your journey.

  • GLP-1 Daily Support: This supplement is formulated to provide daily nutritional support that aligns with the principles of GLP-1 agonists. It can help maintain balanced energy levels and support metabolic health, offering a complementary boost to your regimen. You can learn more and purchase GLP-1 Daily Support here.
  • Weight Loss Boost: Designed to further assist your weight management goals, our Weight Loss Boost supplement provides additional nutritional elements that can aid in metabolism and energy. It’s an excellent option for those looking for extra support alongside their prescribed treatment and lifestyle changes. Discover more and purchase Weight Loss Boost here.

These supplements embody our commitment to holistic care, providing accessible tools to enhance your journey toward a healthier lifestyle. They are developed with the same dedication to quality and effectiveness that defines all our offerings.

The Value of Ongoing Support and Education

Sustainable weight loss is a marathon, not a sprint. Ongoing support, education, and access to healthcare professionals are vital for navigating challenges and celebrating successes. At TrimRx, our platform provides unlimited support, ensuring you have a dedicated partner every step of the way. This supportive environment is a core aspect of our brand personality, making sure you never feel alone in your efforts.

Regular check-ins with your medical team allow for continuous monitoring of your progress, assessment of side effects, and timely adjustments to your Zepbound dosage or overall plan. These consultations are also opportunities to discuss any concerns, celebrate milestones, and reinforce healthy habits. Our innovative telehealth platform makes these interactions convenient and accessible, empowering you to manage your health journey from the comfort of your home.

Whether you’re exploring options, currently on a Zepbound regimen, or looking for ways to enhance your overall wellness, our resources are here for you. To determine if a prescription medication like Zepbound is suitable for your weight loss goals, we encourage you to take our quick, free assessment quiz today.

Practical Aspects of Zepbound Administration and Storage

Beyond understanding when should I increase Zepbound dose, it’s equally important to be familiar with the practicalities of administering and storing this medication safely and effectively. Proper handling ensures the medication maintains its potency and minimizes risks.

How to Administer Zepbound

Zepbound is administered as a subcutaneous injection once per week. It is available in a single-dose prefilled pen or a single-dose vial (which requires a needle and syringe not included). Your healthcare provider or another qualified professional will demonstrate how to properly administer the injection.

Key administration guidelines include:

  • Injection Site: You can inject Zepbound into your stomach (abdomen), thigh, or the back of your upper arm. If injecting into your abdomen, avoid the area within two inches of your belly button. If using your upper arm, another person should administer the injection.
  • Rotate Sites: To prevent skin irritation, tenderness, or hardening, it’s crucial to choose a different injection site each week. Avoid injecting into areas where the skin is already tender, hard, bruised, scaly, or irritated.
  • Timing: You can take your Zepbound dose at any time of day, with or without food, on the same day each week.
  • Missed Doses: Life happens, and schedules change. If you miss a dose, take it as soon as you remember, provided it’s within four days (96 hours) of your scheduled dosing. If more than four days have passed, skip the missed dose and take your next dose on your regularly scheduled day. Do not take two doses of Zepbound within three days (72 hours) of each other to make up for a missed dose, as this increases the risk of side effects. Setting a reminder on your phone can be a helpful tool to ensure consistency.
  • Changing Dosing Day: If you wish to change your weekly dosing day, ensure there are at least three days (72 hours) between the last dose and the new dose.

Our comprehensive service includes doctor consultations where you can clarify any questions about administration. We are committed to supporting you with all the information you need for a safe and effective treatment experience.

Proper Storage of Zepbound

Maintaining the integrity of your medication is essential for its effectiveness. Zepbound has specific storage requirements:

  • Refrigeration is Key: Store your Zepbound medication in the refrigerator at temperatures between 36°F to 46°F (2°C to 8°C).
  • Room Temperature Storage (Limited): If needed, each single-dose pen or single-dose vial can be stored at room temperature (up to 86°F or 30°C) for a maximum of 21 days. Crucially, if Zepbound has been stored at room temperature, it must not be returned to the refrigerator. Discard it if not used within 21 days after removing it from refrigeration.
  • Protect from Light: Store Zepbound in its original carton to protect it from light.
  • Do Not Freeze: Freezing can damage the medication. Do not use Zepbound if it has been frozen.
  • Handle with Care: The Zepbound pen contains glass parts. If you drop the pen on a hard surface, do not use it; discard it and use a new pen for your injection.
  • Safe Disposal: Dispose of used Zepbound pens, needles, and syringes in an FDA-cleared sharps disposal container immediately after use. Never dispose of these in household trash. Follow your community guidelines for sharps disposal.

Our dedication to safety extends to every aspect of your medication. We partner exclusively with FDA-registered and inspected pharmacies for the shipping of weight loss medications, ensuring that they are handled and delivered under appropriate conditions.

The Long-Term Perspective: Sustained Weight Management with TrimRx

Sustainable weight management is a journey that often requires a long-term commitment, and medications like Zepbound are often intended for extended use when determined safe and effective by your healthcare provider. At TrimRx, we are focused on helping you not just achieve your weight loss goals, but maintain them for a healthier future.

Zepbound as a Long-Term Treatment

For many individuals, Zepbound is prescribed as a long-term treatment. The maintenance doses (5 mg, 10 mg, or 15 mg for weight management; 10 mg or 15 mg for OSA) are designed to help you sustain weight reduction and manage your health conditions over time. This long-term approach recognizes that obesity is a chronic condition, and effective management often requires ongoing strategies.

The benefits of consistent, long-term Zepbound use, combined with continued lifestyle modifications, can extend beyond just weight loss to include improvements in overall metabolic health markers, reduced risk factors for various conditions, and enhanced quality of life. Our brand is results-oriented, focusing on measurable progress that contributes to your long-term well-being.

Our Commitment to Your Sustainable Success

At TrimRx, we believe that sustainable weight loss should be achieved through science, empathy, and a transparent approach. Our medically supervised care and personalized programs are built on these core values. We understand that effective weight management requires ongoing support, tailored strategies, and a deep understanding of your individual needs.

Our comprehensive service ensures you receive everything required for a successful journey: doctor consultations to guide your Zepbound dosage and overall plan, access to medication (including Ozempic®, Mounjaro®, Zepbound®, Wegovy®, and various compounded options), lab work to monitor your health, unlimited support from our empathetic team, and convenient shipping—all with no hidden fees. We are dedicated to making sustainable weight loss attainable and truly tailored to you.

If you are looking for a trusted partner in your weight management journey, one that offers innovative solutions and compassionate care, we invite you to explore what TrimRx can offer. Whether you are considering starting a prescription medication or seeking to enhance your current plan, we are here to support you. Take our free assessment quiz today to see if you qualify for our personalized weight loss programs, or browse our immediate support options like GLP-1 Daily Support and Weight Loss Boost to support your overall wellness. Together, we can unlock a healthier, more vibrant future.

Conclusion

Navigating the nuances of your Zepbound journey, particularly understanding when should I increase Zepbound dose, is a critical step towards achieving lasting weight management and improved health. We’ve explored how Zepbound’s dual-action mechanism targets appetite and metabolism, and why a gradual, medically supervised dose escalation is fundamental to minimizing side effects and optimizing efficacy. From the initial 2.5 mg starting dose to the potential maintenance doses of 5 mg, 10 mg, or 15 mg, each step is carefully considered based on your individual response and tolerability.

The decision to increase your Zepbound dose is not taken lightly; it relies on careful observation of your progress, management of any side effects, and continuous dialogue with your healthcare provider. This personalized approach is at the heart of what we do at TrimRx. Our brand, built on empathy, innovation, and trust, is dedicated to providing you with a supportive and results-oriented path forward. We combine advanced medical science with modern telehealth technology to deliver personalized, medically supervised care that is safe, effective, and tailored to your unique needs.

Remember, your weight loss journey is a collaborative effort. While Zepbound offers significant benefits, it thrives within a holistic framework of a balanced diet, regular physical activity, and consistent support. Our quick-access supplements like GLP-1 Daily Support and Weight Loss Boost are designed to complement your efforts, providing additional support for your overall well-being.

We believe that every individual deserves a clear, guided path to better health. If you’re ready to take the next step in your weight management journey and explore how a personalized plan, potentially including prescription medications like Zepbound, can benefit you, we invite you to take our free, no-obligation assessment quiz. Let us be your partner in achieving sustainable weight loss and embracing a healthier lifestyle. What aspect of your weight loss journey feels most challenging right now, and how can a personalized, supportive approach help you overcome it?

Frequently Asked Questions (FAQs)

What is the typical starting dose for Zepbound, and how long do I stay on it?

The typical starting dose for Zepbound is 2.5 mg, injected once weekly. You will usually stay on this initial dose for four weeks to allow your body to adjust to the medication and minimize potential side effects. The 2.5 mg dose is considered a starting dose, not a maintenance dose.

How often can my Zepbound dose be increased?

Your Zepbound dose can be increased in 2.5 mg increments after at least four weeks on the current dose, assuming you are tolerating it well and your healthcare provider determines a dose increase is appropriate for continued progress. This gradual escalation helps manage side effects and find your optimal maintenance dose, which can range from 5 mg to 15 mg once weekly.

What should I do if I miss a dose of Zepbound?

If you miss a dose of Zepbound, inject it as soon as you remember, provided it’s within four days (96 hours) of your scheduled dosing. If more than four days have passed, skip the missed dose and take your next dose on your regularly scheduled day. It’s crucial not to inject two doses of Zepbound within three days (72 hours) of each other. Always consult your healthcare provider if you are unsure.

Can I stay on a lower maintenance dose of Zepbound if I’m still losing weight?

Yes, it is possible to remain on a lower maintenance dose, such as 5 mg or 7.5 mg, if it is effective for your weight loss and well-tolerated, and your healthcare provider agrees. The most effective dose is highly individualized, balancing efficacy with tolerability to optimize treatment outcomes for each patient. Your doctor will work with you to find the dose that best fits your body’s changing needs and your health goals.

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