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Shao L, Feng W, Li H, Gardner D, Luo Y, Wang Y, et al

Counsel patients that GI side effects (nausea, vomiting) during GLP-1 RA titration could impair oral contraceptive absorption through vomiting-related missed doses, and recommend a backup method during the first 4 weeks of titration if vomiting occurs

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Take care to minimize hemolysis