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And in the private sector, treatment might include a nutritional element, psychotherapy, support from medical doctors, guidance on physical activity, and the option to choose surgery or medication

The recommended dosing for acetyl-L-carnitine typically ranges from 500 to 2,000 milligrams daily, divided into two or three doses

Nausea, vomiting, constipation, and decreased appetite are most frequent, typically diminishing after 2-4 weeks at each dose level

Your dose may need to go up as your body adjusts to treatment

However, data from a phase II clinical trial involving pasireotide in patients with dumping syndrome, where progressively increasing doses of pasireotide were added with repeated OGTT testing, show that up to 50% of patients continued to display hypoglycaemia during treatment 86