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In all pregnancies with first-trimester lithium exposure, a 20-week fetal cardiac anomaly scan is recommended.[271] Breastfeeding is usually encouraged, unless there are reasons to advise against it [e.g., risk of harm to the child, use of lactation-incompatible (co)medications, etc.]

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GLP-1 and GIP receptors are also present in thyroid C-cells, and animal studies have indicated an increased risk of medullary thyroid carcinoma with GLP-1RA treatment [43]