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Even with a high BMI, starting low is safer and gives the best chance for the patient to continue treatment

Neurology 39 , 538541 (1989)

doi: 10.1111/jpi.12108 102 Sagrillo-FagundesLBienvenue-PariseaultJVaillancourtC

Additionally, ginger tea, peppermint, or over-the-counter antihistamine-based anti-nausea medications (such as meclizine) can provide temporary relief while your body adapts, though you should confirm any add-on medications with your prescribing physician