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however, their use during pregnancy is generally not recommended because of the paucity of direct clinical trial evidence.226 Similarly, GLP-1/GIP dual receptor agonists, such as tirzepatide, possess broad clinical efficacy, and preliminary safety evaluations have been conducted

Supporting strategies: Strict sleep hygiene optimizing whatever sleep occurs

If youre unsure or worried, its always best to consult with your healthcare provider

12-14 In phase III clinical studies in which exenatide was administered concomitantly with metformin, an SU, or metformin plus an SU, 48% of the 483 patients receiving exenatide 10 mcg twice daily reported nausea compared to 18% of the 483 patients receiving placebo