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I noticed immediate improvement with my one cat and slower improvement on my 2nd cat Both are doing well and have gained weight

Subsequently, insulin-stimulated tyrosine phosphorylation is decreased leading to impaired glucose transport and resistance (194)

The usual recommended maintenance dose remains 2.4 mg

If itching or irritation persists, consider using an over-the-counter anti-itch cream with hydrocortisone, or discontinue use