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Patients with a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia type 2 (MEN2) are contraindicated from GLP-1 therapy

She conducted award-winning immunology research and received the "Top Doc in Cincinnati" award before launching her direct-care/direct-pay Rheumatologist OnCall practice

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Glucagon-like peptide-1 (GLP-1) inhibits advanced glycation end product (AGE)-induced up-regulation of VCAM-1 mRNA levels in endothelial cells by suppressing AGE receptor (RAGE) expression

Several factors may contribute

Be aware that dose changes, including increases, are the most common trigger for this side effect