Vomiting, which is uncommon at lower doses, begins to affect approximately 10 percent of users
For a meal that normally empties in three hours, that means an extra 36 to 72 minutes of stomach residence time
Low blood sugar can occur and is marked by signs of dizziness, headache, feeling sleepy or weak, shaking, fast heartbeat, confusion, hunger, change in eyesight, or sweating
Importantly, this delayed gastric emptying may affect the absorption of oral medications taken concurrently, so patients taking medications with a narrow therapeutic index should be monitored closely
First, confirm it is a true plateau, at least three weeks of no downward trend in the weekly average, rather than normal fluctuation