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Although a severe shortage may result in irreversible brain damage, initial signs are modest or asymptomatic

Consider keeping a food diary to maintain awareness of intake, as mindless eating often increases when pharmacological satiety signals fade

Patients using oral hormonal birth control should discuss this with their prescriber

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Management strategies include smaller, more frequent meals rather than large ones, avoiding high-fat meals that slow gastric emptying further, staying upright for at least 30 minutes after eating, and using ginger or peppermint tea as natural anti-nausea agents