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The condition can result from both non-bleeding and bleeding-related causes

however, the sample sizes remain insufficient for a definitive judgment of absolute safety ( The practical impact of metabolic withdrawal: large-scale population studies suggest that individuals who use and then discontinue GLP-1RAs before pregnancy may experience excessive gestational weight gain (GWG) and an increased risk of gestational diabetes mellitus (GDM) and gestational hypertension ( Accordingly, we suggest that communication should focus on uncertainty managementneither exaggerating teratogenic risks nor downplaying the metabolic and pregnancy costs of post-discontinuation rebound

Long-term irregular scheduling might reduce weight loss effectiveness because your body never reaches stable metabolic adaptation