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While absolute muscle mass and strength decrease, relative muscle mass and strength improve, resulting in better running performance

Medication used past the 56-day window may have degraded potency, and you may not notice until your [weight loss stalls](/guides/semaglutide-not-working-reasons-solutions) or your blood sugar rises

There are risks to mother and fetus associated with poorly controlled diabetes mellitus in pregnancy, including increased maternal risk for diabetic ketoacidosis, pre-eclampsia, spontaneous abortions, preterm delivery, and delivery complications and fetal risk of major birth defects, stillbirth, and macrosomia-related morbidity