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These medications are almost always stopped during the first trimester, and they are a very high molecular weight, so they are not likely to cross the placenta

[2] For Ozempic , if a dose is missed, administer as soon as possible within 5 days after the missed dose

This is different from drugs like Mounjaro and Zepbound (tirzepatide), which stimulate both the GLP-1 and GIP pathways as dual receptor agonists

For guidance on transitioning between GLP-1 drugs, see semaglutide to tirzepatide switching

2011;81(4):e58391

Faster delivery times mean peptides spend less time in suboptimal storage conditions during transit