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For long-acting agents such as semaglutide, clinicians generally recommend stopping therapy at least two months before attempting pregnancy due to the extended half-life

Unlike their FDA-approved brand name counterparts, compounded GLP-1 medications do not undergo the same rigorous review process for safety, efficacy, and quality

Front Immunol (2022) 13:967151

On one hand, Meek said some studies conducted by drug companies have found no evidence that GLP-1s affect birth control absorption

It can cause different usage of nutrients where maybe it's suboptimal in certain cases if you're just eating lots of carbs at individual meals, and that is why I definitely recommend balanced meals that always have some protein and fiber, and that usually mitigates the concern