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Routine calcitonin monitoring is not recommended in the general population, but any patient with neck mass or compressive symptoms while on therapy should be evaluated
Common gastrointestinal side effects occur in many patients and include: Nausea (most common, typically improving after 4-8 weeks) Vomiting Diarrhea Constipation Abdominal pain or discomfort Decreased appetite These effects result from the drugs' mechanism of actionslowing gastric emptying and affecting gut motilityrather than indicating tissue damage or malignancy
On the other hand, Siktar et al
[3] Use in pregnancy and breastfeeding is not recommended
The bigger picture: why GLP-1 costs differ so dramatically Understanding why the same pen costs $200 in Mexico and $1,200 in the United States provides context for the entire medical tourism phenomenon
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