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Most evidence comes from standard therapeutic doses used for diabetes or obesity management

doi: 10.1093/ecco-jcc/jjy004 5 AdolphTEMeyerMSchwrzlerJMayrLGrabherrFTilgH

Medication alone is not enoughand it is not the first step

This raises questions such as whether semaglutide can cause missed periods, irregular cycles, or other menstrual issues

Participants receive regular clinical assessments, laboratory monitoring (including liver function, renal function, lipase levels, and thyroid function where indicated), and structured follow-up

Individual factorsgenetics, prior weight history, adherence to new habitsinfluence your specific trajectory