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They also had to participate in dietary counseling, and their doctor needed to attest they were increasing their physical activity

Medication interactions are also carefully reviewed, especially if youre already administering treatments for diabetes or other chronic conditions

Less urgent but still worth reporting: side effects that do not improve after seven days at any dose level, persistent diarrhea that interferes with daily activities, significant hair thinning (which can occur during rapid weight loss phases and may relate to nutritional deficiencies rather than medication directly), mood changes including increased anxiety or depression, and hair loss patterns that seem disproportionate to weight loss speed

While the low RID does not address all concerns surrounding maternal use of GLP-1 analogs, this finding answers the first pressing question: what risk of drug exposure does the breastfed infant have