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[1] [5] Sertraline can also cause gastrointestinal side effects, including nausea, diarrhoea, and indigestion, especially when first starting treatment

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Pharmacological approaches that your healthcare provider might consider include: Dose adjustment : Temporarily reducing the Mounjaro dose or slowing the titration schedule may allow better gastrointestinal tolerance Proton pump inhibitors (PPIs) : Medications such as omeprazole or lansoprazole may be considered if you also have acid reflux or dyspepsia, though these should be reviewed after 4-8 weeks and evidence for sulphur burp reduction specifically is limited Simeticone : This anti-foaming agent helps break up gas bubbles and may provide symptomatic relief for some patients Bismuth subsalicylate : Available over-the-counter (e.g., Pepto-Bismol), this can reduce hydrogen sulphide production

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