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This may include: Taking prescribed antiemetics if recommended by your provider for significant nausea Elevating the head of the bed if reflux symptoms occur Avoiding trigger foods that worsen GI symptoms Ensuring adequate hydration throughout the day (but limiting fluids close to bedtime) Discussing temporary dose reduction or slower titration if GI symptoms are severe Monitor and prevent hypoglycemia

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When you first take it out of the fridge, note that date on the pen or vial, or keep a note on your calendar to keep track of how many days it's been unrefrigerated