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Early Response Phase (Months 2-3) What to expect: Noticeable improvement in energy and motivation Better exercise recovery Possible initial changes in body composition Continued improvement in sleep Lab monitoring: First follow-up IGF-1 testing at 8-12 weeks

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Three case series found metformin in the milk and plasma of breastfeeding women who were taking metformin 500 mg 2 or 3 times daily, but infant exposure was well below the 10% level of concern (0.182% to 0.65%) (200202)

Most insurance plans still treat obesity as a lifestyle issue rather than a medical condition, which means coverage for drugs like Wegovy is often limited or excluded altogether