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These effects should be monitored closely, and medical advice sought if necessary
The article stresses that cost savings must not override medical safety or proper clinical oversight
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It can therefore be suggested that an attenuated gut barrier, as a result of genetic and environmental factors, is likely to aid the spread of novel proteins/peptides generated by intestinal PAD and tTG thereby promoting disease development, or at least exacerbation of symptoms (Lerner and Matthias 2015b)
A warning can found in the label as well (GLP-1 agonists may not be used in people with history or family history of medullary thyroid cancer or certain endocrine conditions, like Multiple Endocrine Neoplasias)