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Patients should be advised to: Eat smaller, more frequent meals rather than large portions Avoid high-fat, greasy, or spicy foods that delay gastric emptying further Reduce intake of foods that commonly trigger nausea (strong odors, very sweet items) Stay well-hydrated with small sips of water throughout the day Avoid lying down immediately after eating (remain upright for 2-3 hours) Gradual dose titration is critical for improving tolerance

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A smaller group feels briefly worse first: tired, achy, headachy or off-colour for a day or two

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Congestive Heart Failure