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Evaluation revealed a BP of 147/76 and spot urine protein:creatinine ratio elevated to 0.6, which in the context of her presentation was concerning for preeclampsia superimposed on chronic hypertension

Arrange to have someone drive you if you anticipate nausea

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Its gastroprotective and gut-healing properties could allow patients to tolerate higher GLP-1 agonist doses (and thus achieve greater weight loss) by buffering the nausea and GI distress that otherwise limit dose escalation

These changes often help break long-standing cycles of overeating triggered by hormonal imbalance