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Many patients experience noticeable appetite reduction within the first two weeks, translating to 2 to 5 pounds of weight loss during the initial four-week dose period

Some people describe it as similar to mild motion sickness or early pregnancy nausea

In ketosis, the body burns fat for fuel instead of carbohydrate

To manage symptoms effectively: Start with a low dose and titrate slowly Encourage smaller, low-fat meals Consider changing the dosing schedule or formulation Evaluate other GI causes like gastroparesis if symptoms linger Having regular check-ins helps clinicians identify tolerability issues early and adapt treatment accordingly

Treatment plans are individualized based on clinical appropriateness