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Because they are large proteins, GLP1-RAs that transfer into breastmilk are likely to be broken down in the infants digestive system and not absorbed into their blood stream
1 2 "Chemical and Physical Properties"
This leads to damage to the intestinal barrier and allows for the colonization of pathogenic bacteria in the intestinal lumen, thereby exacerbating sepsis and potentially leading to MODS
A Randomized Controlled Clinical Trial in Hemodialysis patients
2019;29(1):174e1825
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