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Nausea affects about 25% of patients in the first month, usually mild to moderate, and typically decreases as dosing continues

For maximum potency and the most established pharmacological data, injectable is the stronger choice

Khanijow V, Prakash P, Emsellem HA, et al

The most common adverse effects include gastrointestinal symptoms such as nausea, vomiting, and diarrhea, which can be problematic in CKD patients, as they may exacerbate dehydration and electrolyte imbalances[75]

Microdosing involves taking small, fractional, or sub-therapeutic doses that are used off-label to get potential benefits from the medication with minimal side effects

If your prescriber checks kidney function periodically, expect mild fluctuations