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The manufacturers of those two drugs, Novo Nordisk and Eli Lilly, respectively, have responded by creating secondary sales channels, outside of insurance, offering cash prices that are dramatically discounted from the list price that is used as the starting point for negotiation with insurance companies

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At the same time, official labeling and many clinical recommendations remain cautious because breastfeeding safety data is still limited, and because these medications may affect appetite, nutrition, hydration, and possibly milk supply

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