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High intensity interval training can be included once or twice weekly for those who tolerate it well, though monitoring fatigue levels closely is essential

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The result is the prolonged fullness patients describe as feeling "the meal in their chest" hours later, often accompanied by reflux as stomach contents back up against a relaxed lower oesophageal sphincter

This guide explains when to stop semaglutide, tirzepatide, or liraglutide before trying to conceive, how long to wait during the washout period, what current research shows about pregnancy safety, and how to maintain your weight loss and fertility while you prepare for a healthy pregnancy