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Im sure thats very difficult to think about, when youre taking a medication this strong to lose the weight, to know youre going to gain weight with a pregnancy and not be able to take the medication. Although her fertility doctor was not concerned about her weight, Sarah went on Saxenda (a daily injectable weight loss drug) under the guidance of her endocrinologist, who had previously treated her with metformin and insulin to control her PCOS and gestational diabetes