Because this is a probiotic approach rather than a pharmaceutical one, the side effect profile is completely different from injectable GLP-1 medications
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These medications are contraindicated during pregnancy and require discontinuation before planned conception (typically 2 months for semaglutide and 1 month for tirzepatide)
Treatment typically starts at 75 mg at night, increasing to 150 mg/day after 12 weeks, and further titrated on the basis of effect and tolerance
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