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You may be a strong candidate for semaglutide weight loss if you have a BMI of 30 or above, or 27 or above with a weight-related condition like hypertension, type 2 diabetes, or dyslipidemia

and Leon, J.D

Exciting new evidence indicates that the effectiveness of NTD prevention could be further enhanced with the simultaneous provision of folic acid along with other B-vitamins and methyl donors involved in OCM

Before asking your provider to reduce the dose, try these interventions: Eat 5 to 6 small meals instead of 3 larger ones Avoid lying down for at least 30 minutes after eating Eliminate fried, fatty, and heavily seasoned foods temporarily Ginger tea or ginger supplements (250 mg four times daily) have anti-nausea properties Switch your injection day so the worst nausea falls on a weekend Ask your provider about ondansetron (Zofran) for breakthrough nausea If none of these work after 3 weeks, your provider may drop you back to the previous dose for another 4 weeks before attempting the increase again

2-1/2 weeks later and I can honestly say I feel much better

Berberine has shown modest effects on blood sugar regulation and may support metabolic health during the transition