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Anyone with prolonged or recurring diarrhea since late spring should contact a clinician and request Cyclospora-specific testing

doi: 10.1038/s41366-018-0302-z 120 MaritzGMutemwaM

Gastroenterology 138 , 682693 (2010)

Options include (a) the conservative 2.5 mg 5 mg path or (b) start at 5 mg if prior GLP-1 tolerance was excellent and the clinician prefers not to de-titrate. In either case, escalate by 2.5-mg increments no faster than every 4 weeks, pausing or stepping back if nausea, vomiting, or dehydration appear