The most common side effects are gut (nausea, vomiting, diarrhea, constipation) and are often mild to moderate in severity
Compounded GLP-1s many people now get semaglutide or tirzepatide through compounding pharmacies, which often dispense the medication in vial form rather than pre-filled pens
But over months and years of treatment, even weekly injections in the same spot accumulate
However, be cautious with tough fibers like raw celery or broccoli stalks if you are experiencing significant nausea
Some practical dietary strategies include: Smaller portion sizes : Eating until comfortably satisfied rather than full reduces the risk of nausea and discomfort Bland, easily digestible foods : During dose escalation, focus on lean proteins, whole grains, and cooked vegetables Adequate hydration : Sipping water throughout the day, particularly if experiencing nausea or constipation Avoiding trigger foods : Identifying and temporarily limiting foods that worsen individual symptoms Persistent vomiting or diarrhea can lead to dehydration and potentially acute kidney injury
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