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Breastfeeding parents typically need: About 2,000 calories per day for baseline metabolism An additional ~250 calories or more for milk production If appetite suppression leads to inadequate calorie intake, this can result in: Reduced milk supply Dehydration Fatigue or dizziness Nutrient deficiencies Potential changes in breast milk nutrient composition In other words, the primary concern during breastfeeding is maintaining adequate nutrition not medication exposure in milk

Two edge cases deserve explicit framing

Doctor visits are scheduled every 3 months for dose adjustments and progress check-ins

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Psychiatric Side Effects Although clinical trials offer reassuring findings, post-marketing data has flagged some rare psychiatric side effects