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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

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Psychiatry 118:110580

2 In this context, obesity, with its extensive systemic effects, is identified as a major fertility disruptor either alone or in combination with polycystic ovary syndrome (PCOS)