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Interruptions in the early phase can delay visible results

Oral medications such as phentermine or topiramate often produce early appetite control and can support steady monthly reductions in weight when paired with consistent follow-up

J Nutr 134:1583S-1587S

Anything faster than that may indicate excessive caloric restriction, which is not sustainable and not safe during the postpartum period

While fatigue is not the most frequently reported side effect, it does occur in a subset of people taking GLP-1 medications

iNOS appears to be a critical factor in regulating cytokine (tumor necrosis factor-alpha/TNF) induced lipolysis that occurs during chronic inflammation [162]