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Seek emergency medical care immediately if you experience a rash, itching, swelling of the face or throat, difficulty breathing, or a rapid heartbeat

Compounded drugs are not FDA-approved and are not the same as FDA-approved brand medications
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SGLT2 inhibitors may benefit glycemic control preconceptionally but are contraindicated during pregnancy due to unestablished safety [11]

In other words, once obesity has set in for a long time, these mechanisms make it very difficult to return to a lower weight
Even if you feel perfectly fine, get the labs drawn
