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Most commonly, this means insulin through multiple daily injections or an insulin pump, though some providers use metformin as an adjunct since its generally considered safe in pregnancy

Steps to Take If You Experience Discomfort Step 1: Stop eating immediately

Rabiolo A, Fantaguzzi F, Montesano G, Brambati M, Sacconi R, Gelormini F et al

And Saxenda really helped there

Theyre metabolically healthy enough to tolerate gradual caloric reduction, they dont have severe kidney disease (since semaglutide is renally cleared), and they have the support or resources to maintain adequate protein intake and physical activity during treatment

Contact your healthcare provider immediately if you experience: severe or persistent nausea, vomiting, abdominal pain, or signs of pancreatitis (severe upper abdominal pain radiating to the back)