Coverage of GLP-1s for weight loss has become particularly controversial: a 2025 ICER report noted only 18% of large employers cover these drugs ( [26] ), and 3052% of obesity-drug prescriptions were denied by payers as not covered ( [27] )
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The concern stems from animal reproduction studies where these drugs affected normal fetal development pathways, though human pregnancy data remains limited because ethical guidelines prevent controlled trials in pregnant women
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Based on the available data, we propose that different GLP-1 receptor agonists activate the salivary gland receptor in distinct ways, triggering pathways that regulate secretion and cell protection
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