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Interactions with some treatments (for example, anticoagulants) have been described and caution is advised in epilepsy or pre-existing pathology
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Someone with a certain variant in the GLP1R gene may reach maximum benefit at a lower dose, while another person with a different variant may thrive at higher doses or benefit more from a dual-compound approach
Who Should Use Extra Caution and When Provider Oversight Is Non-Negotiable Patients with Hashimoto's thyroiditis, Graves' disease, prior thyroid surgery, or TSH-suppressive therapy (e.g., thyroid cancer survivors) require closer monitoring during GLP-1 initiation
Absolute Contraindications: Personal or family history of medullary thyroid carcinoma (MTC), Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), history of pancreatitis, pregnancy or breastfeeding, known hypersensitivity to semaglutide or any excipient
But no, I have stayed back because you also have the pandemic going on, and my fiancee works in medicine, so I dont want to risk getting her infected as Im doing this stuff
