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taking with food may improve tolerance and using earlier in the day may be more comfortable for those sensitive to stimulation

Zenze M, Daniels A, Singh M

The rs738409 polymorphism of the PNPLA3 gene is associated with hepatic steatosis and fibrosis in Brazilian patients with chronic hepatitis C

Additional management strategies include: Keeping a food and symptom diary to identify specific triggers Following the recommended titration schedulestarting with 0.6 mg daily for at least one week, then increasing to 1.2 mg, and potentially to 1.8 mg if neededwhich may help reduce gastrointestinal symptoms Considering over-the-counter remedies such as simethicone (which helps break up gas bubbles), though always consult your pharmacist or healthcare provider before starting any additional treatments Maintaining good oral hygiene as a general health measure, though this has limited evidence specifically for belching Patients should not discontinue Victoza without medical guidance, as the medication provides important glycaemic control