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They are generally not recommended for patients with a personal or family history of medullary thyroid cancer or Multiple Endocrine Neoplasia syndrome type 2 (MEN2), those who are pregnant or breastfeeding or planning pregnancy, patients with a known allergy to the medication, severe gastroparesis or serious digestive motility disorders, active pancreatitis or significant pancreatitis history, serious gallbladder disease, certain kidney conditions, or active eating disorder concerns

Symptoms are typically not seen with early treatment initiation
Flatter Me Fiber is a digestion-friendly fiber that is generally well-tolerated

Breastfeeding women should also avoid berberine as it may be excreted in breast milk and could harm the infant

P = 0.187) [57]

Another study analyzed the effect of semaglutide, liraglutide, dulaglutide and tirzepatide on weight loss outcomes in breast cancer patients who were taking aromatase inhibitors or SERM [89]
