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Practical nausea management strategies include eating smaller, more frequent meals (5-6 mini-meals rather than 2-3 large meals), avoiding high-fat and fried foods (which further slow gastric emptying), staying well hydrated with small, frequent sips rather than large volumes at once, timing the weekly injection for when GI side effects will be least disruptive (many patients inject on Friday evening so the peak nausea coincides with the weekend), and considering prophylactic anti-nausea medication (ondansetron, promethazine, or ginger supplements) for the first 1-2 days after each injection during the titration phase