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doi: 10.1016/j.cbi.2018.01.004

Getting Started: Your First Steps Before diving into the details, heres what you should do right now if youre planning pregnancy: Stop GLP-1 after coordinating with your prescribing doctor (plan for 2-3 months before trying to conceive) Start prenatal vitamins today (400-800mcg folic acid) Switch to more reliable birth control if youre on pills (consider IUD or barrier methods) Schedule a preconception visit with your OB/GYN Start tracking cycles (app or paper) Write down your GLP-1 details (drug, dose, last injection date) Understanding the Pregnancy Safety Concerns Before diving into timelines and action plans, lets establish why this matters and what we actually knowversus what were still learning

For these patients, insulin therapy with Tresiba may be the preferred option for glucose control

Akkermansia is not a replacement for GLP-1 medications, but it may help support the gut conditions tied to natural metabolic signaling, including mucosal integrity, SCFA production, inflammatory balance, and microbiome resilience

This is how euglycemic DKA can develop ketones rise without dramatic hyperglycemia
