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GLP-1 medications slow gastric emptying, which can affect how oral medications are absorbed

This can lead to medication leaking out or air bubbles getting in

A large-cohort study also revealed that lack of maternal folic acid supplementation at peri-conception resulted in increased risk for a DS birth due to errors occurred at maternal meiosis II in the aging oocyte, and it was shown that the methylation status of chromosome 21 peri-centromeric regions could favor recombination errors during meiosis leading to its malsegregation

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Reprod Toxicol

It clears in roughly a day rather than roughly a month