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And therefore the absorption of patients on birth control can affect the efficacy of the birth control." The reports of women getting pregnant on the shots are so widespread that the manufacturer of the medications, Novo Nordisk, set up the FDA-approved Wegovy Pregnany Registry, where patients and providers can share details of their pregnancies while taking the medication

the depth of screening varies by individual provider

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Patients with higher baseline insulin resistance or persistent metabolic dysfunction may benefit from more intensive monitoring and structured intervention during discontinuation