I am 25 years old old woman who is 5 feet 10 inches in height and 270 lbs by weight. I delivered my son and had a tubal ligation done. I also have been exclusively breastfeeding and pumping as needed this whole time. I have had bad nausea and severe aversions to food for the past two weeks. I have been having cramps on and off and a frequent need to use the restroom. I had a blood test done last week, which came back negative. I tried pumping milk a few days before, and I suddenly felt pain. Today I have been having some discomfort in my uterus. I am always tired. At-home pregnancy tests are either coming back with a very faint line or nothing at all. I take tablet Cymbalta 60 mg (60 mg of Duloxetine) once a day. I have been prescribed an Ozempic injection (1.34 mg of Semaglutide), but I want to wait and see what is going on with my body before starting it. In a recent blood test, hCG levels were less than 1 per milliliter of blood. Please advise.