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Patients may explore convenient payment options such as cash pay, credit card payments, and financing options to help manage treatment expenses based on their individual needs

Skipping directly to 10mg would trigger severe nausea, vomiting, and diarrhea in most people

Extended titration Some researchers prefer a very gradual titration: increasing by 1.25 mg every 4 weeks instead of the standard 2.5 mg

Clinical considerations for cost-conscious prescribing include discussing realistic expectations about treatment duration and total cost, exploring alternative medications with generic availability (such as metformin or sulfonylureas for diabetes), and emphasizing lifestyle modifications that may reduce medication dependence

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