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Further high-quality randomised controlled trials are needed to clarify whether probiotics can meaningfully reduce GLP-1-associated gastrointestinal side effects and whether specific strains or formulations are superior

Johnson said

Mothers with GDM are three times more likely to have large for gestational age (LGA) babies [3,9,10], which is in itself a risk factor for complications such as the need for an emergency caesarean section [4,11]

We therefore suggest future studies to more thoroughly report maternal and treatment characteristics including trimester of exposure