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Nausea (most common) Prevention: Start at lowest dose, increase slowly Don't increase dose if current dose still causing nausea Eat small, frequent meals Avoid greasy, fatty, or spicy foods Stay well hydrated Management: Ginger (tea, supplements, crystallized) Vitamin B6: 25-50mg daily Eat slower, chew thoroughly Don't lie down immediately after eating Consider anti-nausea medication (consult doctor) Timeline: Usually worst weeks 1-3 after dose increase