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4 and Supplementary Table 24)

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Rest and Elevation During a gout attack, resting the affected joint and elevating it can help reduce pain and swelling

Patients at or near goal weight optimizing body composition People who tolerated standard GLP-1 dosing poorly but still want the metabolic benefit Patients layering the protocol into a broader wellness or longevity plan Patients with significant weight to lose who would be better served by a standard GLP-1 protocol Personal or family history of medullary thyroid carcinoma or MEN 2 Pregnancy, breastfeeding, or planning pregnancy Expected Timeline What to Expect Microdosing is measured in composition, energy, and how you feel not weekly weigh-ins