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Plateaus on GLP-1 therapy happen for a few predictable reasons: your dose needs to go up, your body has adapted to your current medication, or there's a metabolic factor (thyroid, insulin resistance, cortisol) that bloodwork would reveal and guesswork won't

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[9] [1] Women of childbearing potential should use effective contraception during treatment and discontinue semaglutide at least 2 months before a planned pregnancy

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