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Some ultra-lean, high protein options include: Shrimp Scallops Halibut Tilapia Grouper Cod Oysters Mahi mahi Herring Haddock These fish are slightly less lean, but are also low in fat and high in protein with ultra-healthy essential fatty acids (which your doctor would likely recommend for heart and cardiovascular health): Wild-caught salmon Sardines Mackerel Anchovies Note: just because a fish is lean doesnt mean its safe

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This allows healthcare providers to tailor dosing strategies to individual metabolic profiles, treatment goals, and tolerance thresholds

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Metformin appears to have a low risk of causing birth defects and is considered safer than Ozempic for use during pregnancy