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Working with a healthcare provider: building a plan you can actually follow If these diet and lifestyle changes sound overwhelming, consider making an appointment with a dietitian or GI provider at Oshi Health

Reduce if gastrointestinal symptoms remain severe after six or more weeks at a given dose level, if significant dehydration results from persistent vomiting or diarrhea, if heart rate increases beyond 15 beats per minute above baseline, or if the side effect burden is causing protocol abandonment

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The Escalation Protocol for Long-Term Use Most people think of titration as something that happens in the first few months and then stops