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Leaving the vial on your bathroom counter between doses is not

Selective activation of nuclear bile acid receptor FXR in the intestine protects mice against cholestasis

Dose Escalation: In order to minimise any gastrointestinal side effects such as nausea and other similar effects, the treatment requires a strict titration schedule which typically starts at 0.25 mg for the first four weeks then before increasing it to 0.5 mg, and potentially up to 1.0 mg or 2.0 mg depending on your clinical needs

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Step 2: Start Low and Go Slow Do not feel pressured to take the maximum dose on day one