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Estrogen Decline and Insulin Resistance Estrogen decline directly affects insulin sensitivity and fat distribution

It also helps manage blood sugar and reduces cardiovascular risks

The American Diabetes Association and the Dietary Guidelines for Americans define moderate alcohol consumption as up to one drink per day for women and up to two drinks per day for men

Levothyroxine requirements often increase during pregnancy Previous adverse reactions to any medications, particularly GLP-1 receptor agonists or thyroid preparations Discuss your current control and symptoms: Recent thyroid function test results (TSH, free T4) and symptoms of hypothyroidism or hyperthyroidism Current glycaemic control (HbA1c levels) and any episodes of hypoglycaemia Any gastrointestinal symptoms, as Rybelsus commonly causes nausea, vomiting, and diarrhoea, particularly when starting treatment Establish a monitoring plan with your healthcare team