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Side effects like vomiting and significant diarrhea can also interfere with the reliability of oral contraceptives, which is why OBGYNs often recommend backup contraception when starting GLP-1 treatment or after dose increases

Brymer KJ, Johnston J, Botterill JJ, Romay-Tallon R, Mitchell MA, Allen J, et al

It also states that available safety information is insufficient to know whether harm could occur

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Lung-Related Causes Pulmonary Embolism: This is a blood clot in the lungs