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The guidance was updated for clarity and to be more unambiguous regarding the recommendation to continue these medications and to not cease them prior to the procedure

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Rotate Injection Sites While injection site does not directly cause diarrhea, abdominal injection sites can increase local GI awareness and discomfort

Heres what we see most often with Josie members : Nausea (especially after eating too fast or too much) Bloating or fullness Constipation or looser stools Fatigue, especially in the first 12 weeks Appetite changes (most women eat less without feeling deprived) These usually improve over time, especially with the right dose and support