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The main reason is that scientific evidence is limited, and safety for the developing baby cannot be confirmed

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But keep in mind that only Wegovy is approved for weight loss, and Ozempic and Rybelsus can be used for that purpose only if a doctor prescribes them off-label

GiuglianoDLongoMSignorielloSMaiorinoMISolerteBChiodiniPet alThe effect of DPP-4 inhibitors, GLP-1 receptor agonists and SGLT-2 inhibitors on cardiorenal outcomes: a network meta-analysis of 23 CVOTs