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There is a need for a multi-level approach that considers not only individual decisions but also environmental, economic, and cultural determinants of reproductive health [22, 23]

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Reasonable approaches include: Stabilization approach: Wait until Ozempic dose is titrated to maintenance level and side effects have stabilized, typically 4-8 weeks

Patients with conditions showing strong preclinical evidence and limited alternative treatment options may represent reasonable candidates following thorough informed consent discussions