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ForumsSide Effects & ManagementDay 3 on sema and I feel like death warmed over — what worked for you? Page 2

Day 3 on sema and I feel like death warmed over — what worked for you?

DataDave Sun, Aug 4, 2024 at 7:31 AM 10 replies 1,883 viewsPage 2 of 2
LipidDoc_ATL
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Aug 5, 2024 at 8:11 AM#6
VendorMark said:
The practical protocol is dull and it works: smaller meals, stop eating at the first sign of fullness rather than at the end of the plate, drop the…

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.

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wendy_avl
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Aug 5, 2024 at 6:00 PM#7

One concrete data point for the thread. The boring version of this is the one that works, and the boring version is: measure a baseline, change one variable, wait, measure again under the same conditions. Nobody wants that answer and it is still the answer.

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Dr.CardioMD
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Aug 6, 2024 at 3:49 AM#8
LipidDoc_ATL said:
I dislike how confidently this board tells people to push through.

Adding the part of the answer the thread has not reached. Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then measure again under the same conditions.

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Dr.PathRoch
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Aug 6, 2024 at 1:38 PM#9

One thing that is still open after anna.melb_AU’s answer:

What distinguishes the nausea you can titrate through from the nausea that means stop?

Last edited: Aug 6, 2024 at 7:38 PM
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DataDave
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Aug 8, 2024 at 12:43 PM#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: Aug 8, 2024 at 1:43 PM
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