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336,337 Failure of glutamate homoeostasis in epilepsy reflects significant down-regulation of astrocytic glutamate transporters and glutamine synthetase, the two principal components of the glutamate (GABA)-glutamine shuttle
However, during dose-optimization studies (NCT06568731 and NCT06567327), a single asymptomatic participant experienced a potential case of drug-induced liver injury, which resolved upon discontinuation of danuglipron

Dietary modifications that help: Eat smaller, more frequent meals instead of large ones Prioritize protein-forward meals, as protein is easier to digest when gastric emptying is slowed Avoid high-fat meals, which take longer to digest and can worsen nausea Eat slowly and stop before you feel full, as the sensation of fullness hits faster on retatrutide Stay hydrated with slow, steady sipping rather than drinking large amounts at once Timing strategies: Take your weekly injection at a consistent time each week Many researchers prefer evening injections so that the peak nausea period occurs during sleep Plan your dose increase days on weekends or rest days when GI symptoms are less disruptive Stay upright for at least 30 minutes after eating, as gravity helps with digestion when gastric emptying is slowed Natural remedies for mild nausea: Ginger has demonstrated anti-nausea properties in multiple studies and can help manage mild GI symptoms during dose transitions

VANQUISH-1 Enrolment Complete, VANQUISH-2 Nearing Full Enrolment VK2735 Maintenance Dosing Study Fully Enrolled