However low, a certain degree of excretion in human milk is expected as animal data is a reliable predictor of the presence of a drug and/or its active metabolite(s) in human milk (52)
Two caveats that matter: results differ substantially depending on how it is delivered oral, topical, or into the skin and the oral route in particular carries clotting considerations that require medical screening
Step 3: Targeted Testing for a Fuller Picture Sometimes, a standard TSH test doesn't tell the whole story
Lee YS, Lee DH, Choudry HA, Bartlett DL, Lee YJ
Neuropsychiatric monitoring is particularly important: Mood changes : Report any worsening depression, increased anxiety, or suicidal thoughts immediately Sleep disturbances : Both medications can affect sleep patterns Fatigue or dizziness : May impair ability to drive or operate machinery Serotonin syndrome : A rare but serious condition associated with SSRIs, especially when combined with other serotonergic medications (not related to semaglutide) Metabolic and other considerations : Blood glucose effects : Wegovy can affect blood glucose levels
