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Furthermore, by creating niches for specific bacterial populations, GLP-1RAs may influence microbial richness through altered pH profiles, bile acid modulation, and altered gut motility [5, 11]

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Several large meta-analyses have shown that increasing maternal pre-pregnancy or early pregnancy BMI is associated with increased risks of fetal death, stillbirth, neonatal death and the development of various congenital anomalies [57]
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Moyers, Libbey OFarrell, Daniel A