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Animal studies indicate fetal growth restriction, ossification delay, skeletal variants, and reduced maternal weight gain, though more recent human evidence, including a 2024 cohort of 938 pregnancies, suggests no increased risk of major congenital malformations compared with insulin

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Segura-Pena, D., Sekulic, N., Ort, S., Konrad, M

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Sunday you're more relaxed bigger portions, a dessert, another drink

Unlike Trulicity, Januvia does not significantly slow gastric emptying and is generally weight-neutral