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Setting Realistic Expectations Throughout Each Phase It's important to understand that sustainable weight management is a gradual process

While cramping can be uncomfortable, it rarely requires stopping treatment

Such lipotoxicity induces cardiotoxic effects through bioactive sphingolipids like ceramides and diacylglycerols (DAGs) (82)

Stop alcohol use, drink water steadily, and eat light crackers or ginger if tolerated

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Alternatives such as metformin, lifestyle modification, and bariatric intervention should be prioritized in preconception care