Not trying yet and would like to be within the year, which makes the washout question the one that matters most to me right now.
What would genuinely help is knowing what the washout thinking is before trying to conceive, and why nobody mentions that fertility often increases as a side effect.
I would rather have one careful answer than five confident ones.
Dr.NutriCornell said:Not trying yet and would like to be within the year, which makes the washout question the one that matters most to me right now.
Dr.NutriCornell said:...everyone should be on fertility and pregnancy...
I understand the enthusiasm, but "everyone" is too broad. Contraindications exist: personal/family history of MTC or MEN2, history of pancreatitis, pregnancy/breastfeeding, and certain GI conditions.
Beyond contraindications, clinical judgment matters. A 22-year-old with BMI 28 and no comorbidities has a different risk-benefit calculation than a 55-year-old with BMI 38 and metabolic syndrome.
Let's advocate for ACCESS without advocating for UNIVERSAL use. They're different things.
PurityPaulOR said:Dr.NutriCornell said: ...everyone should be on fertility and pregnancy...
Agreed on the substance. I would put less weight on the timescale, because two months of anything is not enough to distinguish a trend from a wobble.
Ask again with the specifics and you will get a better answer than this one.
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View ResultsDr.NutriCornell said:Not trying yet and would like to be within the year, which makes the washout question the one that matters most to me right now.
Second this. I had assumed I was the exception until I read this.
Adding the clinical framing, because it changes how the question reads. Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then measure again under the same conditions.