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Complete medical history with obesity-specific focus Physical examination: BMI, waist circumference, blood pressure, thyroid palpation Laboratory studies: comprehensive metabolic panel, lipid panel, HbA1c, fasting insulin, TSH, calcitonin (if thyroid concerns), lipase Screening for eating disorders (particularly binge eating disorder and bulimia) Medication reconciliation to identify potential interactions Depression and suicidal ideation screening (PHQ-9) Semaglutide Dosing Schedules and Escalation Protocols Dosing is where semaglutide training for physicians has the most immediate clinical impact

The most likely explanation for these surprise pregnancies is that significant weight loss from the drugs can restore ovulation, thus increasing the likelihood of pregnancy in obese women, many of whom do not ovulate spontaneously

Ozempic is injected subcutaneously

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