Other oral antidiabetic medications, including SGLT2 inhibitors and DPP-4 inhibitors, are generally not recommended during breastfeeding due to limited safety data
Before anyone considers GLP-1 therapy at any dose let me be clear about who needs to avoid these medications: Personal or family history of medullary thyroid cancer or MEN-2 syndrome contraindicated History of pancreatitis may not be safe Severe gastroparesis these drugs will worsen it Pregnancy or active conception planning not recommended These are real medications with real side effects: nausea, vomiting, constipation, gallbladder problems

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Dehydration and Malnutrition: Given that gastroparesis can lead to reduced food intake and frequent vomiting, your doctor will assess for signs of dehydration and malnutrition