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The drug is a glucagon-like peptide-1 receptor agonist that works throughout the digestive and metabolic system, so maternal blood concentrations translate to milk concentrations

They aren't better by default

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The two major precursors to acetyl-CoA in the nuclear-cytoplasmic compartment are citrate and acetate, which are processed to acetyl-CoA by ATP-citrate lyase (ACLY) and acyl-CoA synthetase short-chain 2 (ACSS2), respectively