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Only under medical supervision

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But I think we just need to observe people

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Furthermore, the hazard ratio for medullary thyroid cancer was 1.78 (95% confidence interval 1.04 to 3.05) and the reporting ratio in a complementary pharmacovigilance analysis based on the World Health Organizations database VigiBase was 30.5 (95% confidence interval 25.1 to 37.2) compared with other diabetes drugs.7 These data prompted the European Medicines Agency to raise a safety concern and start an investigation,8 which concluded that the available evidence does not support a causal association.9 We conducted a cohort study using nationwide data from three Scandinavian countries to investigate whether GLP1 receptor agonist use is associated with increased risk of thyroid cancer