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Expert Protocol: Most US clinics recommend a 12-hour "gentle fast" (e.g., 7 PM to 7 AM) rather than extreme 16:8 or 20:4 windows to avoid severe nausea and fatigue
The medication builds up in your system over four to five weeks of consistent dosing until it reaches what pharmacologists call "steady state," a stable concentration that remains relatively constant between doses
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Documenting headache frequency, severity, timing, associated symptoms, and any identified triggers helps healthcare providers assess the situation accurately and develop an appropriate management plan
