Protein first (most meals): Helps preserve lean mass during weight loss Supports metabolic health (which feeds back into liver health) Can be easier to "dose" in small portions if you choose tolerable options Fiber, but titrated to your gut: Soluble fiber (like psyllium) can support regularity and may help with cholesterol and glycemic control If you're prone to bloating, a lower FODMAP approach may be useful (FODMAPs are fermentable carbohydrates that can worsen IBS-type symptoms in some people) Gentle carbs when needed: If nausea is present, very low intake can backfire and worsen fatigue, dizziness, and food aversions Bland, lower-fat carbs can sometimes be a bridge that helps you keep protein down If you have IBS or tend to bloat easily, this is where individualized meal planning can make a big difference: you want foods that are nutrient-dense and actually tolerable
Both allow FSA/HSA use in many cases
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If paired with vomiting, regurgitation of undigested food, or clinically significant weight loss beyond expected therapeutic loss, gastroparesis evaluation becomes appropriate
Titration of a drug is a common method used by healthcare professionals, especially for drugs that affect nerve or hormonal pathways or drugs with a narrow therapeutic range between the effective dose and toxic dose
