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James de Lemos, a study author and a professor in the Department of Internal Medicine and Chief of the Division of Cardiology at UT Southwestern Medical Center in Texas
Enhanced sublingual drops add absorption-enhancing compounds designed to improve bioavailability
Temporary side effects usually last only a few days
It is: Slowing the titration schedule (staying at 2.5 mg for 6 to 8 weeks instead of 4) Eating smaller, more frequent meals Avoiding high-fat foods that delay gastric emptying further Using ginger, vitamin B6, or prescription antiemetics (ondansetron, metoclopramide) during the adaptation window In severe cases, stepping back down to the previous tolerated dose These interventions address the mechanism
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