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Clinical Recommendations and Provider Decision Framework Major organizations including the American Academy of Pediatrics, American College of Obstetricians and Gynecologists, and lactation research groups recommend against GLP-1 use during breastfeeding

Specific strategies: Reduce training volume by 25% if needed (2 sets instead of 3) Maintain frequency (still train 2-4x weekly) but shorten sessions Focus on compound movements only, skip isolation work Train earlier in the day when nausea tends to be lower Keep protein shake readily available post-workout for immediate nutrition If you feel terrible on a scheduled training day, do a reduced session (15-20 minutes) rather than skipping entirely Recovery considerations: Sleep may be disrupted

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