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(PubMed) MacLennan SC, Wade FM, Forrest KM, Ratanayake PD, Fagan E, Antony J

Even these rare events can cause long-term damage such as gynecomastia or changes in sperm parameters if dosing is less than ideal or not monitored

Dose escalation phase (titration) After the first 4 weeks, if the medication is well tolerated, your healthcare provider will typically increase the dosage to 5 mg once weekly for the next 4 weeks (weeks 5-8)