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Have a personal or family history of certain thyroid cancers, including medullary thyroid cancer (MTC) or multiple endocrine neoplasia type 2 (MEN2) Are pregnant, breastfeeding, or planning a pregnancy Have had pancreatitis Have serious stomach or gastrointestinal problems Have a history of an eating disorder or disordered eating Drink a lot of alcohol Are medically frail or have very low muscle mass Arent able to make supportive lifestyle changes, like adjusting eating patterns or increasing activity Kumar stresses the importance of working closely with your doctor to not only monitor risk factors and side effects but to make sure you are setting foundational health habits

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Can J Physiol Pharmacol 99:499505

Starting with lower doses and gradually titrating upward, as recommended in FDA labeling, helps minimize these effects