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For semaglutide (Ozempic, Wegovy), stop at least two months before attempting pregnancy
Ghrelin agonist ipamorelin effects on the HPT axis

doi: 10.1016/S0140-6736(12)61343-9

There is minimal downtime, and side effects are usually mild
[13] The availability and commissioning of these treatments within the NHS continues to evolve

However, acute gastrointestinal distress, dehydration, or poor oral intake during dose escalation can theoretically reduce vaccine tolerability and optimal immune engagement
