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However, nurses should assess patients for more serious adverse effects, such as: Pancreatitis Gallbladder disease Renal impairment due to dehydration Risk of thyroid C-cell tumors (in animal studies) Caution is warranted in patients with: Personal or family history of medullary thyroid carcinoma Multiple endocrine neoplasia syndrome type 2 Severe gastrointestinal disease In addition, GLP-1 medications are not intended for use in individuals with type 1 diabetes or as first-line treatment for obesity without lifestyle intervention

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