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Whilst some degree of menstrual change during a period of significant weight loss may be expected, certain symptoms warrant prompt medical attention

Practical steps for safe resumption include: Obtain explicit approval from your surgeon or diabetes specialist before administering the first post-operative dose Ensure you can tolerate normal meals and fluids without nausea, vomiting, or significant discomfort Administer the injection at the same day each week as before surgery to maintain consistency Start with smaller, frequent meals for the first few days after restarting to assess tolerance Stay well-hydrated , as dehydration can worsen potential side effects Your healthcare provider may schedule a follow-up appointment within 12 weeks of restarting to assess your tolerance, review blood glucose readings, and adjust the dose if necessary

Average blood glucose (sugar) levels for the last two to three months

A further cost of control analysis has been conducted in Spain, comparing once-weekly semaglutide with the higher dose of dulaglutide 1.5 mg [16]

J., Kimura S

doi:10.1056/NEJMoa2107519 11