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Medullary Thyroid Carcinoma (MTC) and MEN 2 Syndrome Perhaps the most critical thyroid-related consideration for GLP-1 medications, including Ozempic, is the potential association with medullary thyroid carcinoma (MTC)

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This concept eventually led to drugs like sitagliptin (approved 2006), but those would generally have less potent effects than direct GLP-1 agonists since GLP-1 levels only double or triple on DPP-4 inhibitors (and those drugs rely on some residual pancreatic function and meal stimulation) ( [59] )

While injectable GLP-1s work well for weight loss, keeping the weight off after discontinuing the therapies is challenging

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