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You are not imagining the severity of your condition, and you are not alone in your search for effective management strategies

Weight gain during pregnancy rarely comes down to a single cause

because of the long (11 weeks) dose titration period and the primary outcome being measured during the following 4 weeks, participants had 13 weeks of functional washout period

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Metabolic changes that show up in bloodwork (better fasting glucose, improved A1c, lower triglycerides) take 6 to 8 weeks to register