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Oral semaglutide, available at $289/mo (or $249/mo on the 6-month plan), bypasses the stomach's delayed-emptying mechanism entirely and produces fewer digestive side effects for some patients, though individual absorption varies
Steroids are synthetic hormones that can cause significant hormonal disruption
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The estimated background risk of major birth defects is 6 to 10% in women with pre-gestational diabetes with an HbA1c greater than 7% and has been reported to be as high as 20 to 25% in women with an HbA1c greater than 10%
doi: 10.1016/j.apsb.2012.06.003
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