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One scenario that’s “quite conceivable,” he said, is that someone who has obesity and doesn’t have frequent menstrual periods starts one of these medicines, loses weight over several months and finds that they’re still not having regular periods — “only now it might be because you’re pregnant.” On top of that, Mounjaro and Zepbound have a warning in their prescribing information that they may render birth control pills less effective

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Physical activity: Exercise is not required for semaglutide to work, but it accelerates results and improves body composition