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The medication acts on several levels: it slows gastric emptying (meaning food stays in the stomach longer, promoting feelings of fullness), reduces appetite through effects on brain centres that control hunger, and affects blood glucose levels
[6] The British National Formulary (BNF) similarly advises avoiding Ozempic during breastfeeding due to insufficient evidence
If your side effects are unpredictable, start with evening dosing for the first 4 to 6 weeks as you establish your dose
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