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Supplement manufacturers do not

doi: 10.1016/j.chembiol.2013.01.013
Continue this habit, as overloading your stomach can worsen nausea

If your provider recommends a slower dose increasesometimes called a gentler titrationthis approach gives your body more time to adapt and typically results in less intense nausea overall

The weight loss observed with this combination exceeds that typically achieved with metformin alone (approximately 2-3 kg) or lifestyle modification
