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"Once-weekly tirzepatide versus once-daily insulin degludec as add-on to metformin with or without SGLT2 inhibitors in patients with type 2 diabetes." Lancet Diabetes & Endocrinology, vol

doi: 10.1113/jphysiol.2014.271676

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However, the studies were not designed to definitely establish the risk of use of metformin during lactation because of small sample size and limited adverse event data collected in infants

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