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You can read more about sitagliptin on the NHS website Pregnancy, breastfeeding and fertility while taking sitagliptin Medications include: GLP-1 therapy (glucagon-like peptide-1 receptor agonists) Dulaglutide ( as Trulicity ) Exenatide ( as Bydureon ) Liraglutide ( as Diavic or Victoza for Type 2 diabetes and Saxenda for weight loss) Semaglutide ( as Ozempic for type 2 diabetes and as Wegovy for weight loss) Dual GIP (glucose-dependent insulinotropic polypeptide) and GLP-1 agonist Tirzepatide as Mounjaro Guidance from the MHRA published in June 2025 states GLP-1 medicines should not be taken by people who are breastfeeding

Roth et al., 2022)

Younger adults (under 40) with good health and suspected minimal decline might start at 150-200mcg, though many will require escalation to standard doses for optimal response

Vitamin B12 helps decrease homocysteine levels in the blood which lowers the risk of heart disease and stroke