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This is a common effect of rapid weight reduction, regardless of method

If symptoms remain severe after the extension, add another week

This allows individuals to achieve their target weight-loss goals and then transition to a maintenance phase, where the dosage or frequency of semaglutide injections may be adjusted to help maintain the weight loss

Iron storage in ferritin is largely determined by the level of ferritin protein, which is tightly regulated according to cellular iron levels (reviewed in Anderson et al., 2012)