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What to monitor during treatment Whether you are on the standard or enhanced protocol, monitoring ensures safety and allows dose adjustments: Weight: Weekly, same time and conditions Energy levels: Daily subjective rating GI symptoms: Daily during titration, weekly at maintenance Blood work (every 3 months): Complete metabolic panel, fasting glucose, HbA1c, liver enzymes, lipid panel, B12, folate Injection sites: Monitor for redness, lumps, or persistent reactions If you notice persistent fatigue despite the niacinamide compound, discuss with your provider whether adjusting your overall approach might be warranted

Reference List Cleveland Clinic

What we dispense is a compounded version, which is not FDA-approved

They are quick, but they are not covered by insurance, ONeill notes

If tolerated with minimal side effects, increase by 0.05mg every 4-6 weeks based on how your body responds