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[12] [13] Foods and beverages to avoid include: Spicy or heavily seasoned dishes Acidic foods (citrus, tomatoes) that may irritate the stomach Carbonated beverages, which increase gastric distension Alcohol, which can worsen nausea and interfere with blood glucose control Very hot or very cold foods, which some patients report as triggers Protein-forward meals with moderate carbohydrates and low fat content help maintain stable blood glucose levels while minimizing nausea

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The article says slow escalation helps providers distinguish true hypersensitivity from expected adaptive side effects that resolve within one to two weeks

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Read the full study: Long-Term Treatment with Recombinant Insulin-Like Growth Factor (IGF)-I in Children with Severe IGF-I Deficiency Due to Growth Hormone Insensitivity (JCEM 2007)