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Weight loss can cause hair shedding and thinning, and according to one 2025 survey, 15% of women from 30 to 49 and 20% of women from 50 to 64 are taking or have taken a GLP-1

[5] [6] Contact your GP or diabetes specialist nurse if: Urine colour changes persist despite adequate hydration You experience ongoing gastrointestinal side effects from Ozempic that affect your ability to maintain fluid intake You notice any unexplained changes in urination patterns, such as significantly increased or decreased frequency You have concerns about medication side effects or interactions According to NICE guidance , patients starting GLP-1 receptor agonists like Ozempic should be monitored for tolerability, and dose adjustments or treatment discontinuation may be necessary if side effects are severe or persistent

If muscle pain were an inherent pharmacological effect of tirzepatide, we would see it uniformly across users at predictable rates

So, patients who are taking these medications for weight loss or diabetes should talk with their doctor about current fertility, future plans, and the possibility of a surprise pregnancy

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