Side Effects Too Intense
Work the comfort measures first, hydrate hard, and get your provider involved early rather than white-knuckling a dose you cannot tolerate.
- Settle the stomachTry ginger tea, mint tea, or small, bland meals, or crackers.
- HydrateStay hydrated with water and electrolyte drinks.
- Ask about anti-nausea medsSome users ask for a prescription for anti-nausea meds during transition weeks.
- For constipationIncrease fiber and probiotics and consider magnesium or stool softeners.
- For persistent vomitingCall your doctor if you are unable to keep down fluids for 24 to 48 hours.
- Talk about the doseTalk to your provider about microdosing.
Seek emergency medical attention if you experience
- Inability to swallow or breathe.
- Severe, persistent vomiting (dehydration).
- Severe abdominal pain that makes you curl into a ball.
- Thoughts of self-harm or suicide.
- If you feel like you are having a medical emergency.
Source: this entry is drawn from “Troubleshooting” in FAT BITCH: Killing the Willpower Myth by Cat Clark (UNLIT Publishing, October 15, 2026). The full chapter has the context this page does not. Get on The First Copy List and we send the order link the day it goes live.
None of this is medical advice. It is educational material drawn from FAT BITCH: Killing the Willpower Myth by Cat Clark, and it does not replace your prescriber, your pharmacist, or your actual doctor. If something here does not match what your care team told you, go with your care team and bring this along to the conversation.