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Description
They are not recommended for people with certain thyroid conditions, hypertension, a history of pancreatitis, or those who are pregnant or planning to become pregnant

Effects of the GLP-1 Receptor Agonist Dulaglutide on the Structure of the Exocrine Pancreas of Cynomolgus Monkeys
In studies with rodents, tirzepatide caused thyroid tumors, including thyroid cancer

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What happened when about half a teaspoon of cayenne pepper was added to a meal