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Focus on: Protein-rich foods to preserve lean muscle mass during weight loss Iron-containing foods (red meat, leafy greens, fortified cereals) to prevent anaemia, particularly if periods become heavier Calcium and vitamin D for bone health, as oestrogen fluctuations can affect bone density Healthy fats including omega-3 fatty acids, which support hormone production For women using hormonal contraception , the Faculty of Sexual and Reproductive Healthcare (FSRH) advises that semaglutide and liraglutide do not reduce hormonal contraceptive efficacy

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Side effects to watch for at any dose step For Rybelsus and other semaglutide products, important safety considerations include the boxed warning related to thyroid C-cell tumors observed in rodents and contraindications for patients with a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2

It is essential to consult a healthcare provider to determine the most suitable medication based on individual health profiles and weight loss objectives

Phentermine-topiramate exerts its anti-obesogenic effects by suppressing appetite through a catecholamine-mediated mechanism of phentermine