Tier 2 advances dosing for patients who tolerate Tier 1 well and are ready for stronger appetite and glycemic control. Ideal for accelerating progress while maintaining comfort and adherence. Structured follow-ups review satiety, energy, GI tolerance, and weekly targets (hydration, protein, steps). 
 
 
Best for: weeks 5–12 or faster titration under MD/NP
Goal: stronger appetite control + steadier energy
Ongoing monitoring and dose optimization