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Monitor your blood sugar levels more frequently than usual, especially when starting tramadol or changing the dose
Eat smaller, more frequent meals with bland foods, stay well-hydrated, avoid high-fat or spicy foods, and follow the prescribed dose escalation schedule
Stem Cells 34 (4), 10541067
And I would say that they definitely have a little bit more GI side effects from the oral formulation, not across the board, but that's my main concern with patients especially these, these patients who are often have gut problems and absorption problems
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