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The C cells in the thyroid would grow, which is a precursor to medullary thyroid cancer

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Thats why its important to make gradual, sustainable nutrition changes while on the medication, like eating more protein to preserve muscle, choosing fiber-rich foods to support fullness, and building balanced meals

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Annu Rev Biochem 48:293325
It is a hormone that your gut naturally releases after eating to tell your brain that youre full, and thus to slow down digestion and regulate blood sugar