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ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC)

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Support Secondary Hormone Pathways (GIP, Amylin, Glucagon) GIP-like activity via insulin sensitizers (e.g., SLM+ ) Amylin via pramlintide (Symlin) or future CagriSema protocols Glucagon via activity, resistance training, or upcoming triple agonists Add agents that simulate or stimulate: 2
If sugar cravings persist despite reaching therapeutic doses, genetic testing may reveal whether an alternative compound, co-therapy, or dietary adjustment would be more effective for your underlying appetite biology

Compounded versions were allowed during the shortage but are now being phased out
