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Most people notice appetite changes within the first 2 to 4 weeks, even at the 0.25 mg initiation dose

The presence of a mild to moderate ILD early in the course of the systemic disease or the evidence of recent ILD progression from the clinical, lung function and imaging point of view, should lower the threshold for treatment initiation

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17 Alternatively, surgery to remove the prolactin-secreting tumor (a non-cancerous tumor in the pituitary gland) has also been shown to successfully lead to remission