Signs of contraceptive failure might include missed periods, nausea, or spotting
Talk to a healthcare provider if you have: severe vomiting dehydration severe or persistent abdominal pain low blood sugar symptoms trouble keeping food or fluids down symptoms that do not go away diabetes medication questions pregnancy or breastfeeding questions a history of disordered eating MedlinePlus says to tell your doctor if you recently had diarrhea, nausea, or vomiting or cannot drink liquids by mouth, which may cause dehydration
otherwise, it should be skipped
It requires a holistic approach that includes diet modifications, physical activity, and behavioral changes combined with careful selection and dosing of weight loss medication, including but certainly not limited to the option of GLP-1s
Hone clinicians see that daily injections tend to be harder to stick with, which often matters more for results than the drugs theoretical potency
I believe this is where more structured guidance around GLP-1 therapy is needed moving forward