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Some patients may require an even higher dose of 2 mg weekly for optimal effect, particularly for weight management indications, though this should be approached cautiously with careful monitoring for adverse effects

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Gastrointestinal/Genitourinary Corticosteroids can increase the risk of GI perforation and should, therefore, be monitored in patients with peptic ulcer disease, diverticulitis, or GI abscess

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Potential interactions with drugs metabolized by methyltransferases should be considered

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