Dr. Lee
Endocrinology
Start weight
212 lbs
Current weight
209.8 lbs
Weight lost
-2.2 lbs
Current dose
2.5 mg · 25u
Adherence
1/1 doses
Patient Timeline
Intake completed
Health questionnaire submitted
Plan reviewed
Micro-titration plan shared
Week 1 injection
2.5 mg · 25 units administered
Week 1 check-in
Mild nausea 1/3 · improving
Week 2 approved
3.0 mg · 30 units approved
Prescription
Weight Trend (lbs)
Nausea Score (0–3)
Risk Profile
Intake-derived clinical flags
Response Accelerators
Hungry gut pattern
Persistent hunger despite meals
Emotional eating
Stress/emotion-triggered eating
Large meal capacity
Caution Factors
Reflux history
Prior GERD increases GI risk
Orthostatic risk
Muscle strength concern
Slow metabolizer
Algorithm rationale
Alex tolerated Week 1 with mild nausea only. No reflux, dizziness, or injection issues. Weight trending down (-2.2 lb). A 0.5 mg increase to 3.0 mg is recommended — smaller than standard protocol — to maintain momentum with lower GI risk.