Dial your prescribed dose (typically starting at 0.25 mg for the first 4 weeks)
Foods to minimize or avoid include: Carbonated beverages, which introduce additional gas High-fiber foods initially (beans, cruciferous vegetables, whole grains), though fiber remains important long-term Artificial sweeteners, particularly sugar alcohols (sorbitol, xylitol), which can ferment in the gut Dairy products if lactose intolerance is present or suspected Fried or greasy foods that slow digestion Hydration remains essential, but patients should sip water throughout the day rather than consuming large volumes with meals, which can increase stomach distension
Focus on compound movements (squats, deadlifts, presses, rows, pull-ups) that engage multiple muscle groups simultaneously
Expanding Healthcare Services Future Plans McCall expresses a desire to expand their practice into Canada and offers non-medical consultations for European patients
Nausea and GI symptoms peak at weeks 6-8, then improve substantially by week 12