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The changes in diet and gut microbiome associated with these medications may also indirectly impact the vaginal microbiome due to the gut-vagina axis." Beyond this, some reports have suggested that Ozempic and other GLP-1-based drugs may impact fertility, with numerous anecdotal cases of women getting pregnant on Ozempic despite using birth control

Here are a few practical strategies: Schedule early followups: Within 24 weeks, check for tolerability and answer questions

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Cardiovascular context

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No dose adjustment is required for patients with renal impairment (including end-stage renal disease) or hepatic impairment, as pharmacokinetic differences are not clinically meaningful