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Some people shouldnt take it, including people with a personal or family history of medullary thyroid cancer, or people with multiple endocrine neoplasia syndrome type 2

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Less commonly reported side effects have included fatigue, headaches, and mild increases to heart rate

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Other common symptoms include: fatigue and low energy joint pans weakness dry cough corneal injury and keratoconjunctivitis sicca, often affecting vision swollen lymph nodes anemia and low white blood cell count salivary gland swelling, often with pain and tenderness indigestion, irritable bowel, difficulty swallowing, esophageal reflux and other gastrointestinal problems memory loss and brain fog burning or tingling pains in the extremities dry, itchy skin vaginal dryness with resulting urinary and sexual difficulties interstitial cystitis liver problems, which range from mild liver test abnormalities to chronic autoimmune hepatitis dental problems due to a loss of saliva, such as tooth decay and periodontitis loss of sense of smell and taste swollen glands, both lymph nodes and salivary glands an increase in the risk of lymphoma Diagnosis of Sjogrens Syndrome The biggest challenge in diagnosing Sjogrens Syndrome is simply considering the diagnosis

It is also about consistency, tolerability, metabolic improvement, and a plan the patient can realistically follow