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The mechanism involves bile concentration and gallstone formation when the gallbladder is not regularly stimulated by dietary fat

This is often tied to compounded medications with inconsistent dosing

Even though excretion in human milk is probably low, renal effects on the offspring cannot be excluded when using SGLT2 inhibitors during lactation, as full functional maturation of the kidney may take 2 years in humans (72)

joe bernstein Not quite

Notably, oral semaglutide has compared favorably when studied head-to-head against a variety of agents, including an SGLT-2 inhibitor and injectable liraglutide

In other words, roughly two-thirds of every kilogram lost was fat, not muscle