As needed throughout the day: ginger capsules (250 to 500mg up to four times daily for nausea management) and B12 sublingual if fatigue is an issue
We promptly initiated a review and have been in direct and ongoing communication with the patient to reach a resolution
(2.1) Assess volume status and correct volume depletion before initiating
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[20] [33] Oral hygiene practices can address metallic taste or altered oral sensations: Brush teeth and tongue regularly Use alcohol-free mouthwash Chew sugar-free gum or mints Rinse mouth with baking soda solution (1/4 teaspoon in 1 cup water) Taste changes often improve over weeks to months as the body adjusts to therapy, though individual experiences vary
