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J Neurol Neurosurg Psychiatry 89(10):10881100 Mollan SP et al (2019) The expanding burden of idiopathic intracranial hypertension

Initiation and titration should follow product-specific protocols: Ozempic: Begin with 0.25 mg weekly for 4 weeks, then increase to 0.5 mg weekly, with further titration to 1 mg and potentially 2 mg weekly as tolerated Wegovy: Begin with 0.25 mg weekly for 4 weeks, then increase monthly through 0.5 mg, 1 mg, 1.7 mg, to a maintenance dose of 2.4 mg weekly Rybelsus: Begin with 3 mg once daily for 30 days, then increase to 7 mg daily, with further titration to 14 mg daily as needed [7] [8] MS patients may benefit from slower titration schedules if gastrointestinal tolerability is problematic

Cycle lengths are typically 4-6 weeks to prevent the body from adapting and reducing the peptides effectiveness