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gastroparesis) Advanced chronic kidney disease Patients prone to dehydration Patient Counseling Points Start low and titrate slowly Eat smaller meals, avoid fatty foods initially Maintain good hydration Report severe abdominal pain or persistent vomiting promptly Nausea is common early

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This does not mean that a very brief increase in glutamate content, as shown in Figure 2 might not, at least partly, be derived from glycogen, which showed a simultaneous precipitous and large fall (Hertz et al., 2003)