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Product labeling indicates that animal studies have suggested a potential for reproductive toxicity at maternally toxic doses for semaglutide, dulaglutide, exenatide, and liraglutide

For beneficiaries calling, texting, or otherwise contacting their pharmacy or retail store and picking up their refills, we note the decreased potential for providing supplies that may not be medically necessary or for which the beneficiary has sufficient supply

Im curious what the physiological reasons are for this

Moujalled DM, Cook WD, Murphy JM, Vaux DL

However, it is important to note that anemia caused by B12 deficiency arises from ineffective erythropoiesis rather than true hemolysis, which sets it apart from TMA

Funding: Open Access publication was supported by an unrestricted donation from Pure Encapsulations, Sudbury, MA, USA