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McCormick D

PLoS ONE (2009) 4:e6359

Adding an Ozempic prescription on top of a metformin combination drug should only be done in consultation with a doctor, as each of the three (or more) active ingredients can have its own set of side effects, interactions, and contraindications (situations in which the medicine should not be used because it might cause harm)

Case reports in the medical literature describe women who unknowingly continued injections for 1-2 weeks after conception without reported adverse fetal outcomes, though long-term follow-up data remains sparse