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Pregnancy and lactation: Maintaining normal vitamin B12 levels is especially important for pregnant and breastfeeding women, as low levels can affect fetal development and lead to developmental delays in breastfed babies
The good news: for both drugs, side effects are worst during dose escalation and fade after 8-12 weeks at a stable dose
In November 2025, the Trump Administration announced an upcoming demonstration project that will extend coverage for GLP-1s to people living with obesity and related complications starting later in 2026
For many patients, these side effects are mild and temporary, especially when starting or adjusting the medication
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