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This phenomenon can be confusing and frustrating, but it doesn't mean the medication isn't working

To reduce nausea, eat smaller, more frequent meals throughout the day rather than three large meals

111 While most studies have reported weight gain associated with their use, 112114 only a few reveal increasing anthropometric parameters without significant modifications in total body weight

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Week 58 (Dose increase to 0.5 mg): When the dose is increased to 0.5 mg (the first therapeutic dose), patients may experience a recurrence or intensification of gastrointestinal side effects , though typically less severe than the initial response

The lack of effect in the study of Taweerutchana et al