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Castellanos V, Workneh H, Malik A, Mehta B

Start titration exactly as recommended, because how quickly you escalate matters as much as what you change on the plate: Begin 0.25 mg once weekly for weeks 14 Move to 0.5 mg weekly for weeks 58 Continue gradual increases to your maintenance dose Pair careful titration with targeted, testable adjustments to meals, movement, and simple OTC supports to reduce the risk of severe gas and other GI symptoms as you adapt

However, GLP-1 drugs may cause nausea and delayed stomach emptying, which can affect how some oral medicines are absorbed

What actually happens: In the early phase, changes are mostly internal, not visible

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