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[12] One study found that those with an out-of-whack sleep schedule (due to factors like night shift work or insomnia) tend to have a low GLP-1 response and a high risk of insulin resistance and obesity

This is likely due to the rapid return of fertility as metabolic health improves, not a direct fertility-enhancing effect

When semaglutide binds to GLP-1 receptors in your brain, it activates regions that control hunger and promote feelings of fullness

doi: 10.1002/oby.22359

Any management plan should be tailored to the individual in discussion with the bariatric multidisciplinary team, including the bariatric dietitian