High BMI - loads of medication

[WobbleHead]

I am 12+2 and had my first appointment with a consultant obstetrician following a referral because of my high BMI.

Altogether I will now be on:

• Pregnacare max - so two green tablets and an omega 3 tablet
• Additional 5mg folic acid (been taking this since early pregnancy)
• 150mg asprin (started this already on midwife advice)
• Adcal-D3 calcium and vitamin D in addition to what comes in Pregnacare
• From 24 weeks I will need to inject myself daily with heparin to manage the risk of blood clots
• Because of daily spotting I've also been put on daily progesterone suppositories

I don't mind taking medication, but this seems like a lot.

I googled the progesterone suppositories and the heparin to get a bit more context and information about them, and for both there are studies published in credible journals seeming to say that they make no difference to pregnancy outcomes at all for people like me (i.e. no history of miscarriage or blood clots).

Would it be acceptable to question the consultant now and ask if I really need these medications? For blood clotting especially surely staying active and drinking plenty of water is enough, as I don't have any personal or family history of risk indicators. And the odds of a clot are 1 in 500 or so (I believe), so vanishingly small already. The thought of daily stomach injections of heparin for no reason makes me feel a bit peculiar.

Does anyone have any thoughts or experiences?

I understand why it feels a little daunting to have so many things to take, but half of them aren’t medications, they are vitamins / supplements. Aspirin is very common too.

When I went through IVF progesterone supplements were needed from the embryo transfer onward.

You’ll get used to the injections, it’ll become routine (another thing IVF-ers get used to!)

Focus on having a healthy pregnancy, follow the docs advice and it will all be worth it. 😊

I have to be on the blood thinners from 28wk, I have a very active lifestyle but will still take them. Tbh they're not that bad, I had them after my cesarean last time. I'm high risk as BMI was 32 at booking, I'm 36 now and it's my 6th baby. Better safe than sorry imo.
I take the extra folic acid, only started at 16wk and felt a lot more energetic after a week of taking them so happy to stick with them. I take vitamin D3 and zinc (not every day though) off my own back on top of a pregnancy multivitamin, omega 3 capsules and creatine (take that for powerlifting training in the gym and research indicates it's safe to continue). I used to take a lot more vitamins pre-pregnancy anyway.
I've never had progesterone as successful pregnancies have not had recurrent spotting, had many mc but plenty of live births too. I would keep up with those if advised to too.
I know it all seems a bit of a hassle but once you're in a routine of taking it all you'll not give it a second thought.

Both reassuring - thanks guys.