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Post-meal nausea is a common and expected side effect during the adjustment phase, not a sign of danger

Monitoring electrolytes and renal function is advisable during significant weight loss or when gastrointestinal side effects are prominent

Nevertheless, current practice is limited by heterogeneous protocols, differences in practitioner expertise, and lack of standardized outcome measures

Theoretically BG particles could be coated with silane layer to make them less hydrophilic and to decrease water sorption, however silanization could interfere with ion release 32