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Pregnancy interaction: PREGNANCY SAFETY: Rybelsus (Semaglutide) is CONTRAINDICATED in pregnancy semaglutide caused fetal abnormalities in animal studies Discontinue Rybelsus at least 2 months before a planned pregnancy Women of childbearing age must use effective contraception while on Rybelsus If pregnancy is detected during treatment, discontinue immediately BREASTFEEDING: NOT recommended during breastfeeding semaglutide may be excreted in breast milk Discuss alternative antidiabetic therapy with your physician FERTILITY: No human data on effects on fertility

These conditions do not absolutely prohibit semaglutide use but warrant thorough risk-benefit analysis, close monitoring, and potentially alternative treatment options

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