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Gastrointestinal side effects remain common, titration strategies require patience, and certain patientsespecially those with medullary thyroid carcinoma, severe gastroparesis, or history of pancreatitismay not qualify for therapy
10.3390/jcm10040622 173
Who Should Avoid It Not for those with personal/family history of thyroid cancer (MTC), MEN2 syndrome, active pancreatitis, or severe gastroparesis
Vitamin B12 injections are also not a proven weight-loss treatment
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Understanding those differences is key to choosing what actually fits your body, lifestyle, and long-term goals
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