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For example, in 2021, the Department of Justices investigation into the laboratory testing company Averhealth revealed that up to 30% of drug test results that they provided to Michigans child welfare agency were false due to poor quality control and machine calibration issues (Hines A

Less common but more serious risks include pancreatitis, gallbladder issues, and a warning (based on animal studies) about thyroid C-cell tumors

A recent clinician survey found that over 90% were concerned about this specific issue in the context of GLP-1 drugs

The 2.4 mg target is based on trial data showing maximal efficacy at that dose, but individual optimization varies

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But why wait till someone accidentally discovers it after the study is done, or figuring it out in AE data, vitals, or lab data, which are rarely done rigorously
