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The most critical contraindication is a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)

In 2009, a second GLP-1 RA was approved liraglutide, which has to be injected once daily

A nationally recognized nurse executive, educator, and healthcare leadership speaker, she founded the Chaos Whisperer movement to help leaders clear the chaos, reclaim their energy, and lead with purpose

If tirzepatide alone is insufficient, combination with a different class of medication, like phentermine or metformin, is a more logical approach

After all, it's pretty well known at this point that many people have some side effects on Ozempic, and your prescribing doctor will also likely go over them with you

Staying upright for a while helps digestion and reduces reflux