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There is limited information on the use of Mucinex and Mucinex DM during pregnancy, but most experts advise avoiding these medicationsespecially in the first trimesterunless specifically directed by a healthcare provider

Metformin is known to exert multiple gastrointestinal actions, including stimulation of GLP-1 secretion [16], to improve postprandial glucose metabolism

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Elsevier, 405413

Kramerova, I., Kawaguchi, N., Fessler, L., Nelson, R, Chen, Y., Kramerov, A., Kusche-Gullberg, M., Kramer, J.M, Ackley, B., Prockop, D., Fessler, J.H, "Papilin in development: a pericellular protein with a homology to the ADAMTS metalloproteinases", Development 127: 5475-5485 (2000)

The primary concerns relate to how both Mounjaro and alcohol independently affect blood glucose levels and gastrointestinal function