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For many individuals, this process is inefficient

The needle should be facing the floor

This may include: Taking prescribed antiemetics if recommended by your provider for significant nausea Elevating the head of the bed if reflux symptoms occur Avoiding trigger foods that worsen GI symptoms Ensuring adequate hydration throughout the day (but limiting fluids close to bedtime) Discussing temporary dose reduction or slower titration if GI symptoms are severe Monitor and prevent hypoglycemia

However, it significantly elevates cortisol and prolactin, creating metabolic complications

If youre using an alcohol-based hand sanitizer, be sure to cover your hands with it, rubbing them together until theyre dry

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