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4.5.3 Risk communication: clarifying uncertainty Current evidence is insufficient to classify GLP-1RAs as relatively safe during pregnancy, and they should certainly not be used as a first-line treatment for gestational obesity or diabetes simply due to their weight-loss benefits (132)

Severe or persistent side effects warrant provider contact and possible dose adjustment or pause in titration to allow tolerance development

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Beans, lentils, nuts, seeds, soy products, fish, lean meat, poultry, eggs, and low-fat dairy foods help maintain muscle mass and should be eaten first at meals 10

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Due to the negative electrostatic charge of sulfonate residues, SCH (sulfated chitosan) is a poly-electrolyte (Dimassi et al., 2018