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Starting at a low dose and gradually increasing may help reduce discomfort

Yes, eating immediately after injection is completely safe and will not reduce medication effectiveness
Maternal exposure to GLP-1 receptor agonists during pregnancy was not associated with a statistically significant increase in the overall risk of congenital disabilities, with an odds ratio (OR) of 1.11 and a 95% confidence interval (CI) of 0.82-1.51

What sits beneath it is where the clinical picture becomes more complex

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doi: 10.1056/NEJM198606123142402
