I'm four months into reta, and I've been on the combined pill for years. Appetite is quieter, but my last two cycles felt off—more spotting and a stretch of queasy mornings. I'm not asking for dosing advice; I already left a note for my clinic. What I'm really curious about: if you're on hormonal birth control and a GLP-1/reta, do you keep a separate symptom log so you can tell side effect vs. cycle noise? My small win is a notes app page with three columns—sleep, nausea, spotting—and it takes maybe 20 seconds before bed. It's already made me less panicky about every twinge. If you track something similar, what columns do you use? And do you bring it up at every appointment or only when something new shows up?
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