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Strategies to maintain adherence include: Taking vitamin D with dinner rather than breakfast, since nausea often peaks in the morning with GLP-1 medications Switching from a large multivitamin to a smaller single-nutrient vitamin D softgel Gummy formulations if swallowing capsules triggers nausea Setting a phone reminder tied to the evening meal rather than the retatrutide injection day Special Populations: Who Needs Extra Attention

Real-world effectiveness, in my opinion, is the most important