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K.SalamancaL.et al (2019)

To minimise nausea and other digestive issues: Start with the lowest dose (3 mg) and increase gradually as prescribed Eat smaller, more frequent meals rather than large portions Avoid high-fat, greasy, or spicy foods that may worsen symptoms Stay well-hydrated, particularly if experiencing vomiting or diarrhoea (if you have heart failure or are on fluid restriction, follow your clinician's specific guidance) Take the medication consistently at the same time each morning Allow symptoms to settle before dose escalation (usually 4 weeks minimum) Most gastrointestinal side effects improve within 4-8 weeks as your body adjusts to the medication

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These peptides can speed up recovery and improve outcomes for joint injuries and conditions associated with lupus