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Semaglutide should be discontinued at least 2 months before a planned pregnancy
A syringe with 0.1mL graduations makes this easier to measure accurately than trying to use an insulin syringe with its smaller volume markings
With semaglutide, most patients notice appetite suppression within the first few weeks, with measurable weight loss beginning by weeks 4 to 8
However, these benefits must be balanced with the need to discontinue the drug before pregnancy
I focus on the reimbursement impact of GLP-1s, particularly how retail pharmacies are losing money on every prescription they dispense
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