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widely cited timeframes such as 28 days are unverified and should not be treated as clinical guidance
Patients taking other glucose-lowering agents may experience more rapid glycemic improvements, though this must be balanced against increased hypoglycemia risk when combined with insulin or sulfonylureas

It stabilizes muscle cell membranes and activates pathways linked to muscle retention, making it especially useful during times of stress, injury, or calorie restriction

The clinical trial protocol starts at 0.25 mg to 0.3 mg weekly and increases every 4 weeks through escalation steps of 0.6 mg, 1.2 mg, 1.8 mg, and finally 2.4 mg
