Unplanned Pregnancy With Weight Loss Drugs: Fact or Fiction?

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Unplanned Pregnancy With Weight Loss Drugs: Fact or Fiction?
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Recent headlines have uncovered a new side effect of antiobesity medications: unplanned pregnancies. Caroline Messer, MD, describes such a patient and why it happens with these new medications.

Clinical Assistant Professor, Mount Sinai School of Medicine; Associate Professor, Hofstra School of Medicine, New York, NY

About 12 weeks into treatment, Claudia had lost 20 of the 30 pounds. She had cancelled several appointments with the trainer and dietitian due to work conflicts. She messaged me over the weekend in a panic. Her period was late, and her pregnancy test was positive.

Finally, while this did not apply to Claudia, no medicine is particularly efficacious if vomited up shortly after taking. Wegovy is known to cause nausea and vomiting in a sizable percentage of patients.The short answer is: most likely yes. A review of the package insert revealed something fascinating. It was not strictly contraindicated. It advised doctors to weigh the risks and benefits of the medication during pregnancy.

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