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Patients with a personal or family history of medullary thyroid cancer or multiple endocrine neoplasia type 2 should avoid GLP-1 drugs entirely, and adding a DPP-4 inhibitor does not change this contraindication

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I also want to give a special thanks to Paige "She the best" & in my opinion the most knowledgeable & helpful member

For other gastrointestinal symptoms, consult your prescriber before making any changes to your treatment regimen, as this may affect glycaemic control in diabetes management

Raufman JP, Singh L, Singh G, and Eng J