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Pooled data from these three trials showed that rates of HF hospitalization were not significantly different between DPP-4i and placebo, suggesting that the effect may not be a class effect [100, 101]

Their medications are compounded, not FDA-approved, which is standard for this category of provider

The LactMed database, maintained by the National Library of Medicine, now states that tirzepatide is usually undetectable in breastmilk with subcutaneous doses of up to 5 mg and that absorption by the infant is unlikely because it is probably partially destroyed in the infant's gastrointestinal tract and poorly absorbed orally