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"Evidence-based treatment." "Underlying biology." "Neurohormonal pathways." You are speaking your doctor language, and that matters more than most people realize

The medication is currently in the process of delivery

Follow the FDA-approved gradual dose titration schedule, eat smaller frequent meals, avoid high-fat and spicy foods, maintain adequate hydration, and increase dietary fiber gradually

However, these medications are available in combination with metformin or other antihyperglycemic agents, which may provide the advantage of decreased pill burden for patients with uncontrolled diabetes

Consider stopping early if Purging is so severe it's affecting your quality of life