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The GLP-1 drug is typically started at the lowest dose, whatever else you are already taking Dose escalation happens gradually, usually every four weeks, to limit nausea and other gut side effects Part 5 covers managing these in full Insulin or sulfonylurea adjustments generally happen over days to a few weeks, guided by your home glucose readings A formal HbA1c recheck is usually done around the three-month mark to see how well the combination is working Improvements in blood glucose may become noticeable within the first few weeks, although individual responses vary Weight loss typically develops gradually over several weeks to months rather than immediately What Indian Studies Say About GLP-1 Combination Therapy Dr