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A well-designed ketogenic protocol can turn the pre-IVF waiting period into a real therapeutic window improving both metabolic and reproductive potential

However, as weight decreases, the rate of loss may slow, which is a normal biological response rather than reduced effectiveness of the medication

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[1] [3] Current evidence suggests that dulaglutide and extended-release formulations generally demonstrate lower rates of nausea compared to twice-daily exenatide or higher doses of semaglutide and liraglutide used for weight management, though individual responses vary considerably