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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

Considerations: Mild swelling, redness, or bruising at injection sites can occur but typically subside within a few days

Clinicians should estimate the required PaCO2 using Winters equation and consider "pre-ventilation"maintaining high minute ventilation during the apneic periodfor high-risk cases like DKA

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Stopping the medication puts both of those outcomes at risk