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People vary a lot in sensitivity. I'd suggest starting lower, maybe 0.25 or less, and sit with it for a couple days before moving forward. Better safe than sorry with new stuff.

Mine came out 37 years ago. My doc said to take it out because a gallbladder attack mimics heart problems, and that'd send you to the ER running endless tests. One less thing to stress about going forward.

Started April 2023 aiming for 100 pounds down - honestly thought it was a joke. My doctor's nurse believed in me though, and a year later I hit that goal. Had surgery scheduled before that but found this instead. Still dialing in the right maintenance dose.