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We therefore recommend using barrier contraception prior to conception. Couldwell emphasizes that these recommendations are based on a review of the research thus far, but with so many unknowns, recommendations may change

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If the medication degrades, you may notice that your appetite suppression isnt as strong or your blood sugar levels arent as stable as they should be

doi: 10.1007/s11274-025-04483-8 8 AnJ.LiuY.WangY.FanR.HuX.ZhangF.et al