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The titration period is when your body is most sensitive to timing variations, and your provider may have specific preferences about when you inject relative to your dose increases

doi:10.1016/S0140-6736(05)61032-X Lu X, Xie Q, Pan X, et al

That means fertility may increase, sometimes unexpectedly, and women should be counseled regarding this. To prevent pregnancy you should use reliable birth control while taking GLP-1s, she says

E.et al (2018)