heather- you may be able to ask your pharmacist for smaller dosage pills, and just take the amount of them you're supposed to. When I first started met, I was working up to my full dose, and my first batch of pills were 500mg each, and were small round ones about the size of an aspirin. They were nice, because they had that coating on them that helped them slide down easier. If you talk with your pharmacist, they may be able to provide a smaller pill for you.
Also, if you feel that your body is not ready to go up to the increase in dosage, then stay there until you feel comfortable. Everyone gets used to met at a different rate. I was up to my full dose in about three weeks. Immodium Ad does help with the gastric stuff, and just avoid really greasy or fatty foods, and iceberg lettuce. Try to take your pills with food if you can. Also, met is not a time release drug, so you want to take it during the hours you'll be eating, so that it can get to work on your insulin levels. As you work up to your full dose, it's best to spread it through the day as best you can. I take mine at b-fast and dinner.
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Tracey
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