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Typically, those who should avoid GLP-1s are those with: A personal or family history of certain thyroid cancers Multiple endocrine neoplasia syndrome type 2 A history of pancreatitis Severe gastroparesis (delayed stomach emptying) Pregnancy or plans to become pregnant Additionally, if you have a history of eating disorders, severe depression or unrealistic weight loss expectations, its important to address these concerns with your physician before considering medication

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Individuals with obesity often have comorbidities such as thyroid tumors, kidney problems, depression, heartburn, stomach problems, or gallbladder problems

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We believe that: Fasting insulin should be standard, not optional Normal lab ranges are often insufficient for optimization Nutrition, inflammation, and hormonal context must be considered alongside pharmacology This is why we emphasize pre-treatment metabolic mappingnot just for safety, but for precision

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differences lie in provider evaluation depth, monitoring frequency, and pharmacist expertise

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