Dr.NutriCornell said:

Not trying yet and would like to be within the year, which makes the washout question the one that matters most to me right now.

Dr.NutriCornell said:

...everyone should be on fertility and pregnancy...

I understand the enthusiasm, but "everyone" is too broad. Contraindications exist: personal/family history of MTC or MEN2, history of pancreatitis, pregnancy/breastfeeding, and certain GI conditions.

Beyond contraindications, clinical judgment matters. A 22-year-old with BMI 28 and no comorbidities has a different risk-benefit calculation than a 55-year-old with BMI 38 and metabolic syndrome.

Let's advocate for ACCESS without advocating for UNIVERSAL use. They're different things.

Dr.MetabolicMD said:

Dr.NutriCornell said: ...everyone should be on fertility and pregnancy...

Dr.MetabolicMD has the substance of this right. The condition it depends on is worth stating. Yes, and the corollary is less popular: if the reasoning holds, it also holds where it produces an answer we do not like.

Dr.NutriCornell said:

Not trying yet and would like to be within the year, which makes the washout question the one that matters most to me right now.

This is my experience too, for whatever a second data point is worth. Nothing to add that would improve it.

Clinical perspective, offered as context rather than as advice. It helps to say which part of this you are uncertain about. A precise question gets a precise answer; a general one gets everybody’s favourite anecdote.