LibrarianMeg said:

Electrolyte monitoring on hydration — especially important during early titration when GI effects are most pronounced: Sodium: 141 mEq/L (normal, but…

This is where I part company with the consensus forming above. The counter-case has not been addressed. Somebody upthread described the situation that does not fit, and the thread moved on rather than engaging with it, which is the failure mode this board is supposed to avoid.

One concrete data point for the thread. For anyone reading later: the numbers in this thread are worth checking against a primary source before you act on them, including mine. Half the figures circulating in this community trace back to a secondary summary that dropped a qualifier.

I would rather be corrected than agreed with, if it comes to it.

Dr.ObesityMed said:

Somebody upthread described the situation that does not fit, and the thread moved on rather than engaging with it, which is the failure mode this…

Adding the part of the answer the thread has not reached. It is worth asking what the claim would look like if it were false. If nothing would look different, it is not a claim about the world and no amount of discussion will settle it.

One thing that is still open after JenMemphis’s answer:

What did you change at the same time, and can you separate the two now?

Reporting back.

Reporting back for the archive rather than for the thread: I did the narrow version of what was suggested, gave it the full interval, and it settled. Posting it because threads without a follow-up are half a thread.