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Clinicians should also monitor nutritional risks associated with rapid weight loss, such as deficiencies in iron, folic acid, and B vitamins, to ensure the patient is pregnancy-ready rather than just weight-ready. Given that GLP-1RAs improving IVF outcomes remains limited, their appropriate positioning remains a metabolic optimization tool before ART rather than a standardized pretreatment regimen (48)

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Acknowledgements Funding The study and the journals Rapid Service and Open Access fees were supported by funding from Novo Nordisk Pharma Ltd

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May I ask how you know your deficiency was alcohol related and not autoimmune

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Bali, P

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