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To ensure maximum efficacy of your birth control pills, continue to take them at the same time each day, and consider using a back-up birth control method for extra precaution

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Options your provider may consider include extending the time between dose increases to give your gut more time to adapt, temporarily reducing the dose until constipation management strategies take effect, or switching between GLP-1 medications if one produces intolerable side effects

Your prescriber will assess your progress at each dose level and may recommend staying at a lower therapeutic dose if you're experiencing good results and minimal side effects