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semaglutide should be discontinued at least two months before a planned pregnancy During treatment , patients should: Attend all scheduled follow-up appointments to monitor both metabolic parameters and general wellbeing Keep a symptom diary noting any mood changes, particularly in the first three months of treatment Maintain open communication with healthcare providers about any concerns, however minor they may seem Continue existing mental health treatments unless specifically advised otherwise by a psychiatrist Adopt healthy lifestyle measures including regular physical activity, adequate sleep, and balanced nutrition, which support both metabolic and mental health Be aware that hypoglycaemia risk increases when GLP-1 agonists are used with insulin or sulfonylureas, and dose adjustments of these medications may be needed Common adverse effects of GLP-1 agonists include nausea, vomiting, diarrhoea, and constipation, which typically improve over time
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IGF-1 is essential for neurogenesis in the adult brain, and because it reduces with age, the depletion is said to contribute to age-related cognitive decline
