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The CMAJ guidance A guidance article published in the Canadian Medical Association Journal (CMAJ) on glucagon-like peptide-1 receptor agonists during pregnancy and lactation concluded that while the safety data is limited, the pharmacological properties of GLP-1 agonists (large molecular weight, poor oral bioavailability) suggest low theoretical risk during breastfeeding

Diabetes Care (2018) 41(9):192637

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In humans, L-Carnitine promotes fatty acid oxidation, non-oxidative glucose elimination, and acyl transfer, functioning at the intersection of fatty acid and carbohydrate metabolism [3]