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It's important to note that weight loss itself is an evidence-based therapy for GERD, so the weight reduction achieved with these medications may actually improve reflux symptoms in some patients, potentially offsetting any direct effects on the gastroesophageal junction

If less than 5 days late, take it as soon as possible and continue your regular schedule

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Nutritional deficiencies due to appetite suppression Appetite reduction with semaglutide may affect overall nutrient intake, though clinical trials have not demonstrated consistent deficiencies in key fertility-related micronutrients such as folate, vitamin B12, iron, or vitamin D [13]