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Contraindications: Personal or family history of medullary thyroid cancer (MTC)

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In such cases, immediate hospital evaluation is necessary to prevent life-threatening situations

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A more gradual approach may be recommended if you: Have experienced nausea with GLP-1 medications before Are sensitive to appetite suppressants Have a history of digestive issues Prefer a gentler adjustment period In these cases, remaining on the starting dose longer, or increasing in smaller steps, can significantly improve comfort