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For atypical Spitz tumors, some advocate for excision with wide margins per melanoma guidelines [60]
for example, semaglutide (injectable) or tirzepatide (injectable) are not oral
Given the chronic nature of thyroid disease and the persistence of neurological symptoms despite biochemical control, these strategies should be viewed as adjunctive rather than alternative interventions (236238)
Metformin was the most common oral glucose-lowering therapy used, totalling 43% of all patients who were prescribed adjunctive therapies
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