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Start low (1 teaspoon in water once daily) and increase gradually to avoid bloating

WARNING Please contact your doctor ASAP and seek in-person care immediately if a side effect becomes problematic or you experience: Severe nausea and/or vomiting resulting in dehydration- it is important to stay well hydrated and drink plenty of fluids while on this medication Kidney problems/kidney failure - vomiting, nausea, diarrhea can cause dehydration and kidney issues and make kidney problems worse in individuals who have pre-existing kidney conditions

This reduction demonstrates improved glucose control and is one of the most important metrics your doctor will track during your treatment journey

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