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Some patients report that morning injections increase nausea during lunch when they are at work or away from home, making it less convenient to manage side effects in professional settings

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Practical strategies for maintaining nutrition whilst managing side effects include: Consuming protein earlier in meals when appetite is strongest Choosing cold or room-temperature proteins if hot foods trigger nausea Opting for bland, easily digestible options during symptomatic periods Sipping protein shakes slowly throughout the day Avoiding lying down immediately after meals to minimise reflux Patients should seek urgent medical advice if they experience: Severe, persistent abdominal pain (especially radiating to the back), which may suggest pancreatitis Right-upper abdominal pain, fever or jaundice, which could indicate gallbladder disease Sustained vomiting or diarrhoea causing dehydration Sudden visual changes, which may relate to diabetic retinopathy complications If gastrointestinal symptoms persist despite dose titration and dietary measures, contact your GP as dose adjustment or additional supportive measures may be necessary