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Maybe the scale is not going down as fast as i would like but I can tell I am loosing sizes I dont have the inflammation on my belly area like I used to, i dont crave food or sweets

It is: Slowing the titration schedule (staying at 2.5 mg for 6 to 8 weeks instead of 4) Eating smaller, more frequent meals Avoiding high-fat foods that delay gastric emptying further Using ginger, vitamin B6, or prescription antiemetics (ondansetron, metoclopramide) during the adaptation window In severe cases, stepping back down to the previous tolerated dose These interventions address the mechanism

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