This guide explains when to stop semaglutide, tirzepatide, or liraglutide before trying to conceive, how long to wait during the washout period, what current research shows about pregnancy safety, and how to maintain your weight loss and fertility while you prepare for a healthy pregnancy
Between these two, metformin is our first-line preference as it helps not only with antipsychotic-related weight gain but also with the metabolic side effects of antipsychotics (insulin resistance, fasting glucose, triglycerides, and hyperprolactinemia), earning it a recommendation from the APA for this purpose
Earlier approaches often focused on one mechanism
Stacking : Often paired with NMN (250-500mg), JBSNF-000088 (another NNMT inhibitor), or semaglutide for synergy
However, these claims are not backed by solid medical evidence or supported by doctors
Chan says