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Patients should be advised to: Eat smaller, more frequent meals rather than large portions, which can exacerbate delayed gastric emptying Reduce intake of gas-producing foods such as beans, cruciferous vegetables, carbonated beverages, and high-fat meals Consider limiting foods high in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) as a trial if symptoms persist (ideally with dietitian guidance) Chew food thoroughly and eat slowly to reduce air swallowing Stay well-hydrated with non-carbonated fluids throughout the day to help prevent constipation Avoid lying down immediately after meals to facilitate gastric emptying Medication timing and dosing strategies can also help minimize bloating

Before any protocol begins, the clinical team reviews IGF-1 levels, relevant hormone panels, and your medical history

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This adaptation makes continued weight loss progressively harder and weight regain increasingly likely