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Zhang, C., Wu, W., Li, X., Xin, X

doi: 10.1161/CIRCHEARTFAILURE.115.002314 94 LiZWuZYanJLiuHLiuQDengYet al

Important safety considerations include potential reduced effectiveness of oral hormonal contraceptives during initiation and dose escalation (requiring non-oral or backup contraception for 4 weeks after each change) and that Zepbound is not recommended during pregnancy due to potential fetal risk