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If I vomit after taking my pill, exactly what should I do for backup and for how long? Does my specific GLP1 drug have guidance about backup contraception during starting or dose increases? Given my endometriosis/adenomyosis symptoms, would an LNG-IUS or implant control pain/bleeding as well or better than the pill? If Im aiming for pregnancy in the next year, whats the safest plan for stopping GLP1 therapy and transitioning off contraception? What we still dont know (and why answers feel unsatisfying) We dont yet have trials that directly measure pregnancy rates or pill hormone exposure in endometriosis/adenomyosis patients taking GLP1 drugs

GLP-1/GIP medications do not: reduce central pain amplification correct nervous-system hypersensitivity treat neuropathic pain reverse joint degeneration Some patients feel better simply because weight loss improves sleep, mobility, energy, and moodnot because the medication treats fibromyalgia biology

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In long-term studies, patients typically show no significant weight gain or loss compared to placebo

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Incorporate lean proteins, complex carbohydrates, healthy fats, and plenty of fruits and vegetables into your meals