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Individuals with type 2 diabetes receiving GLP-1RA may discontinue treatment because of gastrointestinal side effects that can be associated with these drugs, a lack of efficacy, patient expectations or other reasons [8]

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The studies also had some shortcomings, as some only administered fluoxetine at the end of pregnancy and could not assess the effects of the drug throughout the entire pregnancy period, some did not explore the specific mechanisms of fluoxetine-induced fetal acidosis, hypocalcemia, and altered maternal estradiol metabolism, and some failed to assess the maternal and fetal health status over a long-term follow-up period

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Interesting, albeit very small risk, but how does this stack up to the risk of getting diabetic retinopathy later in life of those taking GLP-1 meds for weight loss (pre-diabetic)?