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(One small prospective study of early pregnancy GLP-1 users in a handful of European countries and Israel, published recently in BMJ Open , found no increase in major birth defects or pregnancy loss, when compared with control groups of pregnant women with diabetes and pregnant women who are obese

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2003 Jul 1:333(1);19-39

There are now programs for commercial insurance patients and self-pay patients to obtain the drug directly through the manufacturer