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Patients should be advised to: Eat smaller, more frequent meals rather than large portions Avoid high-fat, greasy, or spicy foods that delay gastric emptying further Reduce intake of foods that commonly trigger nausea (strong odors, very sweet items) Stay well-hydrated with small sips of water throughout the day Avoid lying down immediately after eating (remain upright for 2-3 hours) Gradual dose titration is critical for improving tolerance

Erythromycin has been shown to be of benefit in enhancing gastric emptying in patients taking GLP1RAs

Hoogerwerf A, Hoitink A

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Even so, the effect does not always persist long term and the magnitude can be modest

New York: Academic Press, 1992: 2136 Harper P, Wadstrom C, Cederblad G