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However, this remains a preclinical finding that has not been confirmed in human pharmacokinetic studies

doi:10.1097/JCN.0000000000000469

It doesnt raise prolactin levels significantly, and it also doesnt mess with reproductive hormones

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Because of the unknown potential for serious adverse reactions in the breastfed infant due to the possible accumulation of SNAC from breastfeeding and because semaglutide injection can be considered for use during lactation, advise patients that breastfeeding is not recommended during treatment with oral semaglutide tablets