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If you were stable on Wegovy 2.4 mg, some providers start Zepbound at 5 mg or 7.5 mg
If used with medicines that also lower sugar, the risk of hypoglycemia increases, especially with: Insulin Sulfonylureas (e.g., glipizide, gliclazide, glimepiride) If you use any of these, your clinician may want closer monitoring
Semaglutide itself may have kidney-protective effects (as shown in the FLOW trial), but the combination with creatine in this population has not been studied
Most of the eye outcomes were based on record review or provider report without adjudication by a study reading center
Age-specific timeline example (38-year-old woman): A compressed approach might look like this: spend months 0-4 on GLP-1 treatment, then months 4-6 in the washout period (2 months), and by month 6 begin trying or proceed to IVF
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