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There are no known negative interactions, but it's always best to consult a healthcare provider before combining treatments

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Stronger appetite suppression makes it easy to undereat protein, which leads to muscle loss alongside fat loss

Obesity itself is one of the most underrecognized causes of low milk supply, working through several mechanisms: excess fat tissue slows the hormonal shift that "turns on" full milk production after delivery, high leptin levels interfere with prolactin response, and insulin resistance (extremely common in obesity) disrupts the metabolic signaling your mammary gland needs to produce milk efficiently

Third, confirmation of intrinsic factor deficiency via antibody testing or historical Schilling test

This is not a complete list of side effects and others may occur