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The ACOG 2024 Contraception in Women With Obesity guideline recommends intrauterine devices or subdermal implants as first-line options in patients receiving weight-loss pharmacotherapy who do not desire pregnancy
Both the Wegovy pill and Rybelsus contain an absorption enhancer called SNAC that pass into breast milk
Do not take it if pregnant since it can cause birth defects
Aim for small, nutrient-dense meals rather than large ones: 34 ounces of lean protein, a palm-sized portion of healthy fat, and non-starchy vegetables
However, for major abdominal or gastrointestinal surgery, your healthcare team may recommend a longer interval of one to two weeks to ensure adequate healing and nutritional intake
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