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[1] [2] While vomiting itself is not a typical symptom of medullary thyroid carcinoma, patients should promptly report any neck mass, hoarseness, difficulty swallowing, or shortness of breath

Assessment of Renal Function Metformin and sitagliptin are known to be substantially excreted by the kidney

Potential Side Effects and Safety Considerations Phentermine carries cardiovascular, CNS, and dependence risks

Results become inconsistent

This helps identify patterns and allows for early intervention if side effects become concerning