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The precautionary principle applies here

16.3 Use During Lactation and Nursing Considerations We don't know for sure if semaglutide gets into breast milk, so we need to be careful when giving it to mothers who are breastfeeding

When the body becomes less responsive to insulin, blood sugar levels can rise, increasing the risk of metabolic complications such as type 2 diabetes

Yamagishi S, Nakamura K, Imaizumi T

Under subcutaneous injection, the prominently ranked adverse events (AE) include medullary thyroid carcinoma, gastric hypomotility, obstructive pancreatitis, diabetic retinopathy, decreased glycated hemoglobin, thyroid nodules, bile acid malabsorption, projectile vomiting, retinopathy, and neck mass

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