DOI: Published online: March 6, 2023 1 Department of Education, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan 2 College of Medicine, Chang Gung University, Taoyuan, Taiwan 3 Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan 4 Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan 5 Department of Pharmacy, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan 6 School of Pharmacy, Institute of Clinical Pharmacy and Pharmaceutical Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan 7 MidAtlantic Retina, The Retina Service of Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA, USA 8 Department of Nephrology, Yang Ming Hospital, Taoyuan, Taiwan 9 Department of Ophthalmology, Jen-Ai Hospital Dali Branch, Taichung, Taiwan Corresponding authors: Eugene Yu-Chuan Kang Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, No

To report suspected adverse reactions to Victoza contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch
doi: 10.1210/er.2013-1083 5 ErnstFRBarrPElmorRSandulliWThevathasanLStermanABet al

Non-pharmacological management strategies: Dietary modifications that may help manage GI symptoms include: Eat smaller, more frequent meals rather than large portions Avoid high-fat, greasy, or spicy foods that delay gastric emptying further Stay well-hydrated with small, frequent sips of water Avoid lying down immediately after eating (wait 23 hours) Identify and avoid personal trigger foods Eat slowly and chew thoroughly Lifestyle adjustments: Avoid strong odours that may trigger nausea Ensure adequate fresh air and ventilation Practice stress-reduction techniques, as anxiety can exacerbate nausea Maintain good sleep hygiene Alternative pharmacological options: If symptoms persist despite lifestyle measures, discuss these evidence-based alternatives with your prescriber: Antiemetics: Medications such as metoclopramide (short-term only), prochlorperazine, or cyclizine may be prescribed for persistent nausea

We serve clients from Beverly Hills CA, Los Angeles CA, Santa Monica CA, Burbank CA, Culver City CA, West Hollywood CA, Inglewood CA, and surrounding areas