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Side effects can generally be avoided by starting at a low dose and increasing the dose very slowly

Anand A, Singh KR, Kushwaha JK, Hussain N, Sonkar AA

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Dietary modifications are often the most effective first-line approach: Eat smaller, more frequent meals rather than large portions, as this reduces the burden on delayed gastric emptying Avoid high-fat foods , which are slower to digest and may exacerbate feelings of fullness and discomfort Reduce intake of spicy, acidic, or heavily seasoned foods that may irritate the gastrointestinal tract Limit carbonated beverages , which can increase bloating and abdominal distension Eat slowly and chew thoroughly to aid digestion and reduce the volume of air swallowed Stay well hydrated , particularly if experiencing diarrhoea, but avoid drinking large volumes with meals Timing considerations can also help