Adding the numbers, since they settle part of this. Keep the original post as written when you update it, and add the correction underneath. An edited-away mistake is invisible to the next person who makes it.
One thing that is still open after Dr.GutHealth’s answer:
What distinguishes the nausea you can titrate through from the nausea that means stop?
anders_CPH said:Keep the original post as written when you update it, and add the correction underneath.
Coming at anders_CPH’s question from a different direction. The honest answer is that the effect is real, the magnitude is contested, and the individual variation is larger than either. Those three things can all be true at once, and most arguments here are two people holding different parts of that.
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Holding the step for six weeks instead of four did it. Same dose, same food, and the nausea that had felt like a wall turned out to be a timing problem.
Dr.DermMIA said:The honest answer is that the effect is real, the magnitude is contested, and the individual variation is larger than either.
Dr.DermMIA 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.