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Other options for fissures that do not heal with medication include treatment to relax the muscles around the anus (sphincters) or surgery

This personalized approach allows providers to start at lower doses, escalate more slowly, or modify the frequency of injections to minimize flare triggers

Women taking oral contraceptive pills should be aware that severe vomiting or diarrhoea (which can occur with Wegovy) may affect pill absorption, and additional contraceptive precautions may be needed during and for 7 days after such episodes, as advised by the Faculty of Sexual and Reproductive Healthcare (FSRH)

This might be a healthcare provider, a registered dietitian, a therapist who specializes in eating behavior, or a peer community of others navigating the same transition

Weight loss medications like Zepbound are not recommended during pregnancy and should be discontinued when pregnancy is recognized