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Post-operative hormone replacement should include both estrogen and a progestogen, since estrogen alone may stimulate growth of microscopic disease

Managing cyclic vomiting syndrome in children: beyond the guidelines

Walker MH, Tobler KJ

It works best as part of a comprehensive medical weight loss program that includes nutrition guidance, exercise support, and ongoing provider oversight

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You should arrange a consultation if: You're currently using oral contraceptive pills and planning to start or have recently started weight loss injections You're experiencing significant nausea, vomiting, or diarrhoea that might affect medication absorption You're concerned about contraceptive reliability during weight loss treatment You've had unprotected intercourse and are uncertain about your contraceptive protection You're considering pregnancy in the near future, as weight loss medications should be discontinued before conception Your periods become irregular or you experience potential pregnancy symptoms If planning pregnancy , follow medication-specific guidance: Semaglutide (Wegovy): Stop at least 2 months before planned conception Liraglutide (Saxenda): Discontinue before conception (check product information) Tirzepatide: Follow product information (typically at least 1 month before planned conception) Seek urgent medical advice if you suspect you might be pregnant whilst using weight loss injections