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The tirzepatide studies included 11 and 5 mothers respectively
Slow intestinal transit may prolong contact with biliary metabolites and increase opportunities for microbial deconjugation and enterohepatic reabsorption
Indication bias (patients prescribed GLP-1 agonists may have underlying risk factors for autoimmune disease)
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An oral form of semaglutide (Rybelsus) exists but is significantly less effective (3-5% weight loss vs 10-15% with injections)
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