Dr. Ania Jastreboff

Those are the most common.

But the best way that we can not have those side effects or at least mitigate those side effects, lessen them, we mentioned before, which is to start at the lowest dose and go up very, very slowly.

We have to start at the lowest dose so for you, hopefully, gets used to it.

Your body gets used to it.

And that also means that let's say you were going to pause, right, for any reason or stop them for any reason because of shortage or cost or anything else.

If you pause or stop them for any reason at any time, you have to start back at the lower dose again.

And it depends on the medicine, but yes, two to three weeks because of the- Because I stopped for a year and then- You got to start at the lowest dose.

You got to start back at the lowest dose again.

Because otherwise, if you go up too quickly, you're more likely to have nausea, vomiting, diarrhea, constipation.

So start low and go slow is really the best way to go.

And that takes communication with your provider and your provider should know that.

There are also things that patients can do to help mitigate those side effects.

So they're fairly simple.

So it's not eating past the point of fullness, watching out for which foods may exacerbate your symptoms.

So for a lot of people, it's fatty foods.

And then the last one is eating smaller but more frequent meals.

So those three things really help in terms of mitigating side effects like nausea.

Additionally, drinking enough water really helps.

If we're dehydrated, one, our kidneys are not happy, and two, it can actually make nausea worse.

And then the fifth thing that I think is so, so, so, so critical is if you're having side effects, tell your provider.