Semaglutide dosing can look like alphabet soup when you first open the box—tiny 0.25 mg starter pens here, hefty 50 mg tablets there, half-steps sprinkled in between. Don’t panic. Clinicians almost always begin on the smallest setting, check how your stomach and blood sugar react, and only then nudge the amount upward. The idea is to reach a dose that flattens breakfast glucose spikes and tames late-night fridge raids without leaving you queasy. If a patient spends weeks on the road and can’t lug a cooler, we steer toward the once-daily pill; if mornings are chaotic, the weekly shot often wins...

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