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They found that 529 women were exposed in that 8 week period, and those women did have: The authors noted though, it was hard to isolate the effects to the medication itself or the health factors associated, particularly rebound weight gain on top of gestational weight gain in pregnancy which may increase the risk of some of these concerns also

doi.org/10.63049/OHM.24.11.5

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Eat fiber-rich carbohydrates (especially fermentable fiber) Choose healthy fats, especially olive oil, nuts, seeds, foods rich in omega-3s Prioritize protein in every meal Feed your gut microbiome with polyphenols, prebiotics, and probiotics Supporting the growth of bacteria like Akkermansia mucinilphila and Bifidobacterium both of which are linked to increased natural GLP-1 production may offer another layer of support