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The pain is often worse with pushing and may be associated with fevers or chills

Before starting any GLP-1 medication, talk to a licensed healthcare provider about your personal or family history of medullary thyroid carcinoma, MEN 2, pancreatitis, gallbladder disease, severe gastrointestinal disease, pregnancy, breastfeeding, current medications, allergies, and any prior adverse reactions

Nutrition, movement, monitoring, and behavioural support are essential regardless of which medication is prescribed

Excess consumption can raise cholesterol levels, which we monitor closely

Slower dose titration is often recommended to monitor for compounded nausea or appetite loss that might interfere with nutrition or methotrexate tolerance

Conflicts of interest M.C