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For that reason, the pill must be taken: On a completely empty stomach First thing in the morning At least 30 minutes before eating, drinking anything but water, or taking other medications This schedule can create a practical conflict for patients already taking medications that require an empty stomachsuch as levothyroxine (for thyroid conditions) or omeprazole (for acid reflux)

Without enough of it, your body may lose muscle instead of fat

What to Expect During the Transition You might notice some mild stomach side effects come back during the first few weeks, which is a normal part of adjusting to the new medication

By this point, many people have reached or are approaching the 8 mg to 12 mg dose range where the clinical data shows the most dramatic results