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ForumsSide Effects & ManagementIs this normal?? My stomach is making SOUNDS — 6 month update Page 2

Is this normal?? My stomach is making SOUNDS — 6 month update

Dr.EM_Chicago Sun, Oct 12, 2025 at 10:12 AM 10 replies 1,243 viewsPage 2 of 2
julia.endo
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Oct 12, 2025 at 4:03 PM#6
BariatricNurseD said:
Holding genuinely reduces total burden rather than redistributing it, because the gastric-emptying component adapts.

I dislike how confidently this board tells people to push through. Incidence figures around 20 to 25% at the higher doses are class-typical, but the trials also had a discontinuation column, and "manageable with protocols" is not the same as manageable for everyone.

12 7anna.melb_AU, mark_tokyo, hans_munich and 9 others
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Dr.PulmRoch
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Oct 12, 2025 at 6:21 PM#7

The figures, for anyone assembling their own picture. Practical: whatever you change, write down the date and the reason. In three months the reason is what you will have forgotten, and the reason is what makes the record worth having.

Last edited: Oct 12, 2025 at 7:21 PM
11 6traveltech_sara, AttorneyGrant, DebRD_ATL and 8 others
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NurseKim_ATL
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Oct 12, 2025 at 8:38 PM#8
julia.endo said:
I dislike how confidently this board tells people to push through.

Adding the part of the answer the thread has not reached. The useful move here is to separate what is established from what is widely repeated. Those two sets overlap less than the confident tone of most write-ups suggests, and the second set is where nearly all the disagreement on this board comes from.

Correct me if the detail matters more than I have assumed.

Last edited: Oct 13, 2025 at 1:38 AM
10 5ingrid_STO, pete_nash, hank_denver and 7 others
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DeniseRN_TPA
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Oct 12, 2025 at 10:55 PM#9

Following on from hans_munich — and this may be the naive question:

Whether holding at a lower dose for longer actually reduces total side-effect burden or just spreads it out?

9 4LindaRN_retired, tommy_boulder, hyun_seoul and 6 others
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Dr.EM_Chicago
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Oct 13, 2025 at 9:54 AM#10

Reporting back.

Follow-up: smaller meals, less fat in the two days after dosing, and not lying down afterwards. Unglamorous, and it worked within a fortnight.

Last edited: Oct 13, 2025 at 1:54 PM
47 20lisa_labSD, adam_van, Dr.SurgeonPGH and 44 others
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