the nausea thing finally clicked for me and I want to write it down
the nausea thing finally clicked for me and I want to write it down. Not a hot take, just something I have not seen said plainly here. The effect on gastric emptying is most pronounced early and attenuates with continued dosing, which is the mechanism behind the "it settles at a stable dose" pattern the whole board…
I would be careful here. "Everyone gets this" is not true, and it makes the people who get something unusual assume they are fine when they should be asking.
smaller meals, earlier, is the boring advice that works
holding a dose an extra month is a legitimate answer to bad tolerance
Yes — the day-two-to-day-four window is so consistent across this board that it is almost diagnostic.
This. A bad fortnight after a step is expected. A bad quarter is a reason to talk to somebody who knows your history.
Yes — the day-two-to-day-four window is so consistent across this board that it is almost diagnostic.
Adding to this — holding the dose rather than stepping is the option people forget they have.