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[13] [14] UK SmPCs for licensed GLP-1 receptor agonists do not list medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2) as formal contraindications, but advise vigilance for symptoms such as a neck lump, hoarseness, or difficulty swallowing

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They should also call if nausea worsens after a dose increase, continues beyond the expected adjustment period, or is paired with vomiting, dizziness, abdominal pain, or dehydration

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