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A thoughtful clinician might argue against switching in one specific scenario: patients with a strong family history of medullary thyroid carcinoma or MEN2 syndrome

Nature 290 , 142143 (1981)

You ready, here we go

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Moreover, abnormalities associated with hypertension, such as insulin resistance and hyperlipidemia (high lipid levels), can be worsened by some anti-hypertensive medications

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