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Saxenda (liraglutide) is a GLP-1 receptor agonist licensed for weight management, but current UK guidance clearly advises against its use during breastfeeding

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If you experience vomiting or severe diarrhea while taking oral contraceptives and tirzepatide, follow CDC guidance for missed pills: use back-up contraception if vomiting occurs within 2 hours of taking a pill, and consider emergency contraception if multiple pills are affected during the first or third week of the pack