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This is something I discuss with my patients routinely when they come in with questions about them. Stewart recommends patients stop taking GLP-1s for at least two to three months before trying to conceive, and before beginning infertility treatments

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doi: 10.1056/NEJM199602013340503

In obese patients, GLP-1 infusion significantly increased excretion of sodium (by 60%), calcium (by 60%) and chloride (by 44%) and significantly decreased excretion of H + (by 75%)

Nesfatin-1 exerts a direct, glucose-dependent insulinotropic action on mouse islet - and MIN6 cells

The new prices available via TrumpRx (and presumably LillyDirect as well) would represent a savings of about $50/month, or $600/year, over current DTC prices