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SAS, 2000

Bonilla Safety of creatine supplementation: analysis of the prevalence of reported side effects in clinical trials and adverse event reports Creatine can cause a slight increase in weight due to water retention in muscles

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The dose doubling produces a temporary return of: Nausea usually for 35 days post-injection Increased fullness and reduced appetite meals may feel impossible to finish Possible reflux or Ozempic burps (sulphurous belching) Fatigue or brain fog How to manage: Eat smaller, more frequent meals 45 per day, not 3 large Stop eating at the first feeling of fullness Stay upright for 30 minutes after eating Try ginger tea or ginger capsules evidence supports anti-nausea effects: ginger and nausea, PMC Weeks 78 Second Adaptation Window Dose: still 0.5 mg By the end of week 8, most patients have stabilised again

The technique is used successfully to treat other conditions but this will be the first time it is used for fibromyalgia