Add it gradually so it does not cause bloating
In contrast, later in 2023, a multisociety statement from gastroenterology and hepatology organizations, including the AGA, AASLD, ACG, ASGE, and NASPGHAN, advised against routine discontinuation of GLP-1 therapy, emphasizing individualized patient management and the use of point-of-care gastric ultrasound (POCUS) to assess aspiration risk [9]
The leaflet gives you information about the possible serious side effects of NuvaRing
Mizuno H , Nishida Y, Ayoub E, Basi A, Bedoy A, Gomez JA, Burks JK, Kanagal-Shamanna R, Andreeff M
Starting with a lower dose and gradually increasing it can help mitigate these side effects
The 4mg tier is also the lowest maintenance dose being tested in the Phase 3 TRIUMPH program, which signals that the sponsor considers it the minimum effective dose for a regulatory filing