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Patients may adjust the time of their injection if needed, but they should: Maintain a minimum of 72 hours between doses Follow the standard dosing schedule : starting at 2.5 mg once weekly for four weeks , with gradual increases as guided by their healthcare professional Use post-meal timing during dose escalation if recommended by their clinician to improve tolerability These strategies help balance medication effectiveness with tolerability and improve adherence in the long term

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It is believed to be an autoimmune disorder where the bodys immune system attacks melanocytes, the cells responsible for producing melanin

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