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When to reassess If GI symptoms worsen instead of improving over the first 2-3 weeks of a step, if you cannot keep food down, or if you have severe persistent abdominal pain (especially with back radiation), pause and consult a qualified clinician
This is partly a cost-and-access issue, clinical nutritionist support involves an out-of-pocket expense that many people feel they cannot afford, particularly when the medication itself is already expensive
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