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If nausea is persistent but not severe, dropping back one titration step for an additional 2 to 4 weeks before attempting the increase again often resolves the issue

Other medications taken by mouth If you take warfarin, thyroid medication, or any medication where the dose is finely tuned, slowed gastric emptying can affect blood levels during dose changes

Acetyl L-Carnitine (as HCI), alpha-Lipoic Acid If you are pregnant, may become pregnant, breastfeeding, have any disorder of blood sugar metabolism (such as diabetes), or suffer from any seizure disorder (such as epilepsy), consult your physician before using this product

This documentation can be crucial if you need to appeal a coverage decision