Start CGM at diagnosis, not as a last resort
This expanded framework retains the core logic of prior sections but adds step-by-step operational clarity to support plug-and-play use by any anaesthetist involved in IVF care
Side Effects Profile All three medications share common side effects, primarily gastrointestinal: Nausea (usually temporary, worst in first few weeks) Diarrhea or constipation Abdominal discomfort Reduced appetite (this is the goal, but can feel uncomfortable initially) The higher dose of Wegovy may cause more pronounced side effects initially, while Saxendas daily dosing can offer more stable blood levels with potentially fewer ups and downs
Sensitivity analyses included Cochrane Q-test, Egger regression, Mendelian Randomization Pleiotropy RESidual Sum and Outlier (MR-PRESSO), scatterplots, funnel plots, and forest plots
If amenorrhoea persists beyond six months after stopping treatment or stabilising weight, specialist assessment is recommended
Choline serves as a precursor molecule for the neurotransmitter acetylcholine and has been linked to a decreased risk of Alzheimers disease and dementia
