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6.6 When to Refer Referral to a clinician or dietitian may be appropriate when: Persistent GI intolerance limits intake Weight loss exceeds 20% body weight Multiple laboratory abnormalities are present Underlying malabsorptive or gastrointestinal disease exists Patient is elderly or medically complex GLP-1 therapy should not occur in isolation from nutritional oversight when risk factors are present

You will likely notice a return of stronger appetite suppression and renewed progress within the first couple of doses on fresh medication

Rather than increasing medication on a fixed schedule, Nooms physician-designed protocol adjusts dosing based on each patient's individual progress and response

Dimensions: 7008 x 3944 px | 59.3 x 33.4 cm | 23.4 x 13.1 inches | 300dpi Date taken: 14 April 2026 More information: GLP-1 injection pen isolated on clean background

Cold-chain insulation is included for thermally sensitive compounds at no additional cost

others do better with four modest meals spaced 4-5 hours apart