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The changes in diet and gut microbiome associated with these medications may also indirectly impact the vaginal microbiome due to the gut-vagina axis." Beyond this, some reports have suggested that Ozempic and other GLP-1-based drugs may impact fertility, with numerous anecdotal cases of women getting pregnant on Ozempic despite using birth control

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192207 While concerns about potential muscle loss with GLP-1 RAs remain, recent evidence from the SEMALEAN study suggests this risk may be attenuated with semaglutide 2.4 mg

If your clinician has given individualized timing instructions, follow those directions rather than changing the schedule on your own