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What it does suggest is that the 3- to 7-mg step may be a window of raised psychiatric risk in susceptible peopleplausibly through GLP-1 effects on mesolimbic dopamineand that a quick, validated mood check folded into the titration schedule would be a sensible precaution

[1] [4] It is administered as a once-weekly subcutaneous injection and should be used alongside a reduced-calorie diet and increased physical activity

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A detailed evaluation that includes looking at medication history helps make the right diagnosis