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Therefore, this review aims to synthesize current evidence on the use of GLP-1 RAs in women planning pregnancy, evaluate emerging safety data, and discuss practical clinical approaches for managing these patients

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While Ser2 of oxyntomodulin and Ala8 of GLP-1 both interacted with TM7 residues, these interactions were stronger with oxyntomodulin due to a persistent hydrogen bond between Ser2 and E387 7.42 and transient hydrogen bonds and van der Waals contacts with K383 7.38 , D372 ECL3 and L384 7.39 (Supplementary Table 3)