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No human data on the excretion of GLP-1 agonists or SGLT2 antagonists in milk are available, but in rat and mouse models excretion in milk was observed with concomitant effects on neonatal growth of GLP-1 agonists

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72 Although based primarily on anecdotal and case reports, concerns regarding risk of regurgitation and pulmonary aspiration due to delayed gastric emptying have resulted in guidance from the American Society of Anesthesiologists (ASA) Task Force on Preoperative Fasting for use of these medications prior to non-urgent or emergent procedures requiring general anesthesia