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If you started at the higher end and experienced problems, reduce to 0.5mg to 1mg daily
This includes sleep duration, latency (time to fall asleep), awakenings, and subjective feelings of restfulness upon waking
By month's end, expect three to six pounds of weight loss depending on starting weight and caloric deficit achieved
When pain persists beyond three months, when ultrasound shows structural degeneration, or when conservative measures have plateaued that's when we escalate
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