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Important contraindications include personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 (MEN2), history of pancreatitis, severe gastrointestinal disease including gastroparesis, and pregnancy or planned pregnancy (these medications should be discontinued at least 2 months before a planned pregnancy)

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High homocysteine can increase the risk of heart disease, so keeping it under control supports better circulation and a healthier cardiovascular system overall

Supplies Needed Plan based on an 816 week daily protocol with gradual titration as outlined above