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NHS guidance also stresses the importance of achieving optimal health before conception, including: Maintaining a balanced diet rich in essential nutrients Taking 400 micrograms of folic acid daily (higher doses of 5mg daily on prescription for women with BMI 30, to be taken from preconception until 12 weeks' gestation) [9] [11] Addressing any underlying health conditions such as diabetes or hypertension Avoiding alcohol and smoking Women should work collaboratively with their healthcare team to develop a personalised preconception plan that balances weight management goals with reproductive health priorities

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If it happens, consult your provider to review options, including restarting medication if you meet clinical criteria, and check your insurance terms for pauses longer than 4 weeks

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