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The DPP-4 inhibitors were well-tolerated, body weight was not significantly different from the placebo groups and there was no difference between the groups in the (low) numbers of confirmed hypoglycemia

While these medications are unlikely to be absorbed well through an infant's gastrointestinal tract, the current recommendation is to avoid them during breastfeeding due to the lack of definitive safety data

Peptide impurities and the characterization of active ingredients also pose challenges

Patients with prior pancreatitis face elevated risk with GLP-1 therapy and should have detailed conversations with their provider before starting

This is worth considering if your stall coincides with starting a new batch or switching compounding sources