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Pregnancy and Breastfeeding : Semaglutide is not generally recommended for use during pregnancy or breastfeeding

"Type 2 diabetes can be challenging enough to manage without the added risk of chronic kidney disease, and I have seen in my own practice that patients with type 2 diabetes and chronic kidney disease need extra support from medications that may have a profound clinical impact by lowering the risk of major kidney and cardiovascular outcomes

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Regardless of which GLP-1 medication you use, the fundamental principle remains the same