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ForumsSide Effects & ManagementIs this normal?? My stomach is making SOUNDS

Is this normal?? My stomach is making SOUNDS

nick_newbie Fri, Apr 24, 2026 at 12:39 PM 6 replies 606 viewsPage 1 of 2
nick_newbie
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Apr 24, 2026 at 12:39 PM#1

Nausea arrived on day two of each dose step, lasted about four days, and disappeared entirely by the second week — until the step where it did not.

What I actually want to know is whether holding at a lower dose for longer actually reduces total side-effect burden or just spreads it out.

Tell me what I have not thought of.

16 11robert_kc, dan_philly, MeganSA_TX and 13 others
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mike.trainer_LA
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Apr 24, 2026 at 1:32 PM#2

Short answer first, then the reasoning. The line between titrate-through and stop is not severity, it is trajectory and what else is present. Nausea that peaks and improves within a week is the expected pattern. Nausea that is escalating, or that comes with severe upper-abdominal pain radiating to the back, or that prevents fluids for more than a day, is a different conversation and belongs with a clinician the same day.

Last edited: Apr 24, 2026 at 5:32 PM
15 10newstart_MO, mia_MS2, LeilaHI and 12 others
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EndoResFellow
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Apr 24, 2026 at 2:25 PM#3
mike.trainer_LA said:
The line between titrate-through and stop is not severity, it is trajectory and what else is present.

mike.trainer_LA has the substance of this right. The condition it depends on is worth stating. The meal advice is right and incomplete without the hydration point. People stop drinking because drinking makes them feel full, then attribute dehydration symptoms to the drug.

14 9paul_denver, TinaHashiRN, robert_kc and 11 others
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kim_atl_prep
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Apr 24, 2026 at 3:18 PM#4
nick_newbie said:
Nausea arrived on day two of each dose step, lasted about four days, and disappeared entirely by the second week — until the step where it did not.

Same position here, arrived at the long way round. The practical protocol is dull and it works: smaller meals, stop eating at the first sign of fullness rather than at the end of the plate, drop the fat fraction of meals in the two days after dosing, and do not lie down straight after eating. Most of what people call unmanageable nausea is a meal-size and meal-composition problem interacting with a stomach that is emptying slowly.

Last edited: Apr 24, 2026 at 9:18 PM
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PedsEndoPhilly
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Apr 24, 2026 at 8:18 PM#5

From the other side of the consultation, briefly. It helps to say which part of this you are uncertain about. A precise question gets a precise answer; a general one gets everybody’s favourite anecdote.

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