Long term, well get more information, but right now it looks like we have enough information that were not really seeing a significant effect on the fetus, only improvement because we have better glycemic control prior to pregnancy.

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AACE/ACE Comprehensive Diabetes Management Algorithm 2015
"Medicines that have been imported from overseas will not have been assessed and approved by Medsafe, so carry a significant risk as there is no assurance they have been made to an acceptable level of quality," the regulator added in response to a Reuters query about imports of semaglutide-based drugs
Their close association with circulating markers of lipid metabolism and insufficient hepatic regeneration after liver surgery suggest a critical involvement during these processes in humans
So, so they basically came to me at the onset of COVID in 2020, March of 2020