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Marys Hospital, The Catholic University of Korea, Seoul, Korea 31 Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea 32 Department of Pediatrics, Inje University Ilsan Paik Hospital, Goyang, Korea 33 Department of Pediatrics, Incheon St

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We additionally summarize the evidence by domain and certainty level in a structured Supplementary Table 6, explicitly separating relatively robust short-term metabolic evidence from more exploratory reproductive and periconception safety findings