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All providers are aware that metformin will lead to a small amount of weight loss, but metformin isnt a weight loss drug

[13] Physiological vitamin D sufficiency is vital for placental function, foetal bone accretion, and maternal skeletal health, yet professional bodies caution against parenteral megadose therapy during uncomplicated gestation, preferring daily or weekly oral regimens that allow tighter titration and minimise abrupt calcium flux

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Antidepressants such as duloxetine or amitriptyline may be considered after discussion of benefits and harms