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That means fertility may increase, sometimes unexpectedly, and women should be counseled regarding this. To prevent pregnancy you should use reliable birth control while taking GLP-1s, she says

Typical follow-up schedules include an initial follow-up at 4 weeks after starting to assess initial tolerance and response, then follow-up at each dose increase (when moving from 0.25mg to 0.5mg to 1mg), and quarterly appointments once youre on a stable maintenance dose

GLP-1 RAs contribute to telomere stability, lessen cellular aging, enhance tissue regeneration, and mitigate the negative impacts of aging

The standard protocol is to start semaglutide first, allow 4 to 6 weeks of adjustment, and then introduce keto