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Case 4 : NAC 2400 mg/day helped resolve severe skin-picking, though overall irritability remained stable (ABC-I: 37 to 36)

Shimada K, Skouta R, Kaplan A, Yang WS, Hayano M, Dixon SJ, et al

Understanding the Risks and Making Informed Choices What We Know for Sure Research clearly shows: GLP-1 medications should not be used during pregnancy A 2-month washout period is necessary before conceiving Accidental early exposure doesnt automatically mean harm Animal studies show potential risks to developing babies Human data is limited but somewhat reassuring What We Dont Know Yet We still need more research on: Long-term effects on babies exposed during pregnancy Whether different GLP-1 drugs have different risk levels Impact on babies when used in the second and third trimesters Effects on breastfeeding and breast milk Making Your Decision Talk openly with your healthcare team about: Your weight loss goals Your pregnancy timeline Your overall health needs Your risk factors Your emotional readiness Together, you can create a plan that protects your health and your future baby

A short course of TB-500 does not produce the same remodeling outcome as a structured multi-phase protocol