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Progressive overload, gradually increasing weight or volume, ensures continued adaptation

If side effects at a new dose are truly intolerable after two full weeks of trying the strategies above, the appropriate response is to step back down to the previous dose for another two to four weeks before attempting the increase again

The gradual increase helps minimize side effects, but it also means patience is required

This helps avoid skin irritation or unnecessary tissue trauma

If appetite suppression is strong and weight loss is progressing steadily at 7.5 mg, there may be no need to increase further