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Guillem, P
Strategies for managing gastrointestinal side effects: Eat smaller, more frequent meals : Rather than three large meals, consume five to six smaller portions throughout the day Avoid high-fat and spicy foods : These can exacerbate nausea and slow digestion further Stay well-hydrated : Drink water regularly throughout the day, particularly if experiencing diarrhoea or vomiting Maintain consistent timing : Administer Ozempic on the same day each week, at any time of day, with or without food Avoid lying down immediately after eating : Remain upright for at least 30-60 minutes after meals For injection site reactions: Rotate injection sites systematically (abdomen, thigh, upper arm) Use proper injection technique as demonstrated by your diabetes nurse Apply a cold compress if irritation occurs Inspect the solution before use - it should be clear and colourless General management principles: Gradual dose escalation is fundamental to tolerability
What this means in practice: a routine lipase of 120 with an upper limit of 60, no abdominal pain, no nausea worse than usual, is probably the drug
If dietary challenges persist, consider consulting with a registered dietitian who specializes in digestive health for personalized guidance
Results Of the 138,397 patients, 57% received neither SGLT2-I nor GLP-1RA, 17% received both, 20% received SGLT2-I only, and 6% received GLP-1RA only
