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Breastfeeding and Ozempic Risks of Breastfeeding While On Ozempic Animal studies in lactating rats have shown that semaglutide is detected in milk at levels that are 3 to 12 times lower than the mothers blood concentration of the drug
This means while the effects of semaglutide generally help with cardiovascular health, losing weight is not a one-size-fits-all solution to treating hypertension
And yes, GLP-1s have been associated with medullary thyroid cancer in rats but even some of the rats in those early studies that were taking the placebo (inactive medication) as part of the control group developed thyroid cancer

Semaglutide versus dulaglutide once weekly in patients with type 2 diabetes (SUSTAIN 7): a randomised, open-label, phase 3b trial - The Lancet, Diabetes & Endocrinology Gastrointestinal tolerability of once-weekly semaglutide 2.4 mg in adults with overweight or obesity, and the relationship between gastrointestinal adverse events and weight loss - Diabetes, Obesity & Metabolism Once-Weekly Semaglutide in Adults with Overweight or Obesity - The New England Journal of Medicine Semaglutide delays 4-hour gastric emptying in women with polycystic ovary syndrome and obesity - Diabetes, Obesity & Metabolism Clinical Recommendations to Manage Gastrointestinal Adverse Events in Patients Treated with Glp-1 Receptor Agonists: A Multidisciplinary Expert Consensus - Journal of Clinical Medicine Risk of Gastrointestinal Adverse Events Associated With Glucagon-Like Peptide-1 Receptor Agonists for Weight Loss - JAMA

But they cost more than $1,000 a month and she didn't think her insurance would cover it