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The standard titration schedule starts at 2.5 mg per week for 4 weeks, then increases to 5 mg per week for another 4 weeks, with subsequent increases of 2.5 mg every 4 weeks up to a maximum of 15 mg per week (Mounjaro prescribing information, Eli Lilly)
however, patients with severe neurological complications or critically low B12 status should be treated with i.m
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Maintenance frequency after that varies depending on how you respond and what your ongoing goals look like
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