While you don't need to be as rigidly adherent to a diet as you would if it was the only way you were trying to improve your health, working to eat better is going to be better for you over time
Preconception counselling is particularly important for women with obesity, as this provides an opportunity to: Assess overall health status and identify any conditions requiring management Optimise control of existing medical conditions Review all medications for safety during conception and pregnancy Discuss realistic weight management goals and timelines Ensure appropriate supplementation, including higher-dose folic acid (5mg daily on prescription for women with BMI 30, to be taken from preconception until 12 weeks' gestation) [9] [11] Address any concerns about fertility or pregnancy risks Your GP can provide referrals to specialist services, including fertility clinics, weight management programmes, or maternal medicine services as appropriate
But compounded with dehydration from vomiting, reduced food intake from extreme appetite suppression, and interaction with other diabetes medications, blood sugar can drop to dangerous levels
If you live alone or prefer to self-inject, the abdomen or thigh may be more practical choices for your weekly injection
