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Clinics generally advise against starting treatment for anyone who: Is pregnant Has a personal or family history of thyroid cancer Has a history of multiple endocrine neoplasia (MEN) syndrome BMI and health history serve as a useful starting point for this evaluation, not an absolute cutoff, since metabolism and overall wellness also weigh into a provider's decision

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The risk depends on baseline nutrition, food choices, gastrointestinal symptoms, medications, and duration of reduced intake

( 10.2215/CJN.13111215) [DOI] [PMC free article] [PubMed] [Google Scholar] 41.The effect of glucagon-like-peptide 1 (GLP-1) receptor agonism on diabetic kidney disease