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Research indicates that berberine can cross the placental barrier and enter breast milk, with studies suggesting it may cause serious harm to infants, including potential brain damage
Cagrilintide also has one of the lowest GI odds ratios among the incretin and amylin compound class in a 2025 Bayesian network meta-analysis of multi-target obesity therapies the relevance for the stack is that adding cagrilintide to retatrutide may not compound GI burden as severely as adding a second GLP-1 agonist would
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