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We appreciate the commenters who submitted comments on the proposed requirement that covered entities certify that the data elements from all claims submitted to the 340B repository are from verified 340B claims and, to the best of the covered entity's knowledge, their submission includes all Part D 340B claims for the covered entity at the time of submission for the applicable period

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GLP-1 exposure in pregnancy does not clearly raise major birth defect risk Prenatal acetaminophen use not linked to adverse birth outcomes Both DPP-4 and SGLT2 inhibitors were used by women with higher periconceptional glycated hemoglobin (HbA1C) levels

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Reduced NEAT (non-exercise activity thermogenesis), hormonal shifts, water retention fluctuations, and changes in body composition all play roles