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This initial dose is specifically designed as a starting dose rather than a therapeutic maintenance dose, serving primarily to help the body adjust to the medication and minimise potential gastrointestinal side effects

Haroon E, Fleischer CC, Felger JC, Chen X, Woolwine BJ, Patel T, et al

It may be the TMAO, the trimethylamine oxide

This can happen due to fluid retention or changes in your digestive system as it adapts to the medication

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