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Management strategies: Eat smaller, more frequent meals Avoid high-fat, greasy, or heavily spiced foods initially Stay hydrated For constipation (common): increase fiber gradually, drink more water, consider magnesium supplement Ginger or peppermint tea for nausea Dont lie down immediately after eating (helps with reflux) Under-eating risk (serious for women over 40): The appetite suppression can be so strong that some women struggle to eat enough protein and calories to support muscle maintenance and basic metabolic function

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Prioritize high-protein meals (11.2 grams per kilogram of body weight), include fiber-rich foods (2836 grams daily), and incorporate regular resistance training to protect muscle mass

However, many users report that the time of day affects their side effect experience

Circulation 2018;138:1537-50.ArticlePubMedPMC 42

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