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In pre-existing diabetes, poorly controlled GDM or pre-existing diabetes in pregnancy associated with comorbidities, initiation of weekly assessment of fetal well-being at 34 to 36 weeks gestation is recommended

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Their current recommendations reference the FDA-approved weekly dosing schedule exclusively

Injecting within a 2-3 hour window of your usual time is ideal, but a few hours difference has negligible pharmacological impact given the 6-day half-life

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