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Nat Med 11:9094 Zhao X, Cui YM, Zhou Y et al (2008) Exenatide pharmacokinetics in healthy Chinese subjects

During this upward titration phase, you continue injecting once weekly on your chosen day, simply with a slightly higher amount each time your dose increases

In: Oxidative Stress and Diseases

Peptide therapy is not a single visit, it is a structured protocol with checkpoints, and patients who choose a clinic that is hard to get to tend to skip those checkpoints