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Joyce Lee, a professor of pediatrics at the University of Michigan Medical School in Ann Arbor

Exenatide, a synthetic variant of exendin-4, incorporates strategic modifications that substitute asparagine (Asn) at the C-terminal with aspartic acid (Asp) and swap alanine (Ala) at the 8 th position with glycine (Gly)

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Switching to transdermal estrogen may be a better option for those on oral hormone replacement therapy to avoid absorption issues

Human data are somewhat more reassuring for accidental early exposure, but there is still not enough evidence to recommend continuing these medications throughout pregnancy