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This is consistent with the FDA-approved label

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Animal studies showed that exposure to GLP1-RAs was associated with small-for-gestational age pups (birthweight that is lower than expected at the time of delivery), and there was an increased risk of birth defects compared to unexposed animals

Lesions affecting the mucosal surfaces of the oral cavity, nose, larynx, and oesophagus tend to be more common and more extensive in malignant acanthosis nigricans as does the finding of pruritus

doi: 10.1002/mnfr.201400674 35 EgnerPAChenJGWangJBWuYSunYLuJHet al