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Routine monitoring of serum calcitonin or using thyroid ultrasound is of uncertain value for early detection of MTC in patients treated with RYBELSUS Contraindications RYBELSUS is contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), and in patients with a prior serious hypersensitivity reaction to semaglutide or to any of the excipients in RYBELSUS

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over 70).[ref] Supplemental L-carnitine: L-carnitine and acetyl-L-carnitine are readily available as supplements and may be beneficial for someone with carnitine-related genetic variants