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If tiredness persists or worsens over time rather than improving, this warrants discussion with your GP or diabetes specialist, as it may indicate the need for dose adjustment or additional investigation to exclude other causes of fatigue

If additional glycemic benefit is needed, your doctor may increase the dose to 1.5 mg, 3 mg, or up to 4.5 mg weekly

The medication starts with an initial dose of 2.5 mg weekly with possible increments in 2.5 mg steps to a maximum of 15 mg