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Escobar-Morreale HF, et al
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These medications are not suitable for everyone and may be contraindicated in patients with certain medical conditions including personal or family history of medullary thyroid carcinoma, multiple endocrine neoplasia syndrome type 2, severe gastrointestinal disease, or diabetic retinopathy
Others never escalate further and transition directly into a maintenance phase
However, people who take large doses orally can experience the high or sense of euphoria they seek
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