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No one is screening for disordered eating before prescribing, said Deanna Wolfe, a registered dietitian who has helped hundreds of women recover from disordered eating

According to FDA guidance, GLP-1 medications are not recommended for people who have: Pregnancy, because safety data are limited and pregnancy requires appropriate weight gain and nutrient storage A prior history of pancreatitis, due to a risk of triggering inflammation of the pancreas A history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 (MEN2), a rare genetic condition linked to thyroid cancer in animal studies A clinician will review your medical history carefully to determine whether these medications are appropriate for you

Switching from a compounded to a brand-name GLP-1 may feel like a big change

Genetic markers linked to slower adaptation patterns help your provider anticipate longer adjustment periods and implement proactive sleep-support strategies before insomnia develops