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Perreault L
Insulin does not pass into breast milk in clinically significant amounts due to its large molecular size and rapid degradation in the infant's digestive system
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Researchers designing comparative studies should account for: titration schedule alignment (all three compounds use gradual dose escalation), equivalent observation windows (retatrutides Phase 2 trial used 48 weeks vs semaglutides 68-week STEP trials), body weight-adjusted dosing for fair comparison, and consistent outcome endpoints
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