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For those who have undergone one or more pregnancies and have also lost significant weight, a combination procedure similar to that of a mommy makeover might be appropriate

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Fertility issues: Both men and women may face fertility problems

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48 :e281-e3 288

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Prolonged sitting creates constant low-grade stress on spinal structures

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If your employer's plan excludes anti-obesity medications entirely (common in self-insured plans), your options are: the cash-pay manufacturer programs described above, asking your HR department whether the exclusion can be reconsidered (especially if your employer is large enough to modify the plan), or using the medication under a different indication (for example, Ozempic for type 2 diabetes, if applicable)

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Risks and Complications: Diabetic Ketoacidosis (DKA): In women with pre-existing diabetes, gastroparesis can contribute to the development of DKA, which can have serious consequences for both the mother and the fetus

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